Individual
MS. LAUREN NICOLE JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
GC
Contact information
Practice address
18181 OAKWOOD BLVD STE 204, DEARBORN, MI 48124-4082
(313) 593-7677
Mailing address
26901 BEAUMONT BLVD STE 3D, SOUTHFIELD, MI 48033-3849
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
7201000016
MI
Other
Enumeration date
06/09/2017
Last updated
10/15/2025
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