Individual
MS. LAKESHIA JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2400 MOUNT ZION PKWY, JONESBORO, GA 30236-2500
(678) 680-9670
Mailing address
9663 IVEY RIDGE CIR, JONESBORO, GA 30238-4159
(678) 680-9670
Taxonomy
Speciality
Code
Description
License number
State
156FX1101X
Ophthalmic Assistant
Primary
108241
GA
Other
Enumeration date
05/13/2025
Last updated
05/13/2025
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