Laura Jackson, LD

NPI #1073103321 in Logan, Ohio

Provider Information

NPI Number: 1073103321
Entity Type: Individual
Name: Laura Jackson, LD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dietitian, Registered
Credential: LD
Enumeration Date: Jan 21, 2021
Last Updated: Jan 21, 2021

Practice Location

Address: 30381 CHIEFTAIN DR
City: Logan
State: Ohio
ZIP Code: 43138-9092
Phone: (740) 385-2555

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dietitian, Registered	133V00000X	Primary

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