Lacey Janee Jackson
NPI #1013542497 in San Antonio, Texas
Provider Information
- NPI Number
- 1013542497
- Entity Type
- Individual
- Name
- Lacey Janee Jackson
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Specialist/Technologist, Other - Electroneurodiagnostic
- Enumeration Date
- Mar 6, 2020
- Last Updated
- Mar 6, 2020
Practice Location
- Address
- 1141 N LOOP 1604 E # 105-610
- City
- San Antonio
- State
- Texas
- ZIP Code
- 78232-1339
- Phone
- (210) 598-2800
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist, Other - Electroneurodiagnostic — Electroneurodiagnostic |
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