Individual
LAUREN ELIZABETH JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
857 GRAHAM RD, CUYAHOGA FALLS, OH 44221-1170
(330) 923-9585
Mailing address
857 GRAHAM RD, CUYAHOGA FALLS, OH 44221-1170
(330) 923-9585
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
APP-000115333
OH
363A00000X
Physician Assistant
—
—
Other
Enumeration date
09/19/2017
Last updated
12/23/2020
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