Lechel Jackson
NPI #1164920153 in Harrison Township, Michigan
Provider Information
- NPI Number
- 1164920153
- Entity Type
- Individual
- Name
- Lechel Jackson
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Registered Nurse
- Enumeration Date
- Jan 25, 2018
- Last Updated
- Jan 25, 2018
Practice Location
- Address
- 35040 RENFREW ST
- State
- Michigan
- ZIP Code
- 48045-3605
- Phone
- (313) 737-9195
Specialties & Taxonomy Codes
| Specialty |
|---|
| Registered Nurse |
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