Individual
LACEE JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
HAD
Contact information
Practice address
2700 HIGHWAY 180 E, SILVER CITY, NM 88061-7702
(575) 534-9029
Mailing address
5303 50TH ST, LUBBOCK, TX 79414-1817
(806) 799-8950
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
HAD22002
NM
Other
Enumeration date
09/11/2024
Last updated
09/11/2024
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