Individual
LAUREN JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1650 COCHRANE CIR UNIT MEDDAC, FT CARSON, CO 80913-4604
(719) 524-4253
Mailing address
6752 GALPIN DR, COLORADO SPRINGS, CO 80925-8446
(231) 620-2092
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
RN1629141
CO
Other
Enumeration date
08/11/2025
Last updated
08/11/2025
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