Lazendre Jackson
NPI #1447915103 in Riviera Beach, Florida
Provider Information
- NPI Number
- 1447915103
- Entity Type
- Individual
- Name
- Lazendre Jackson
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Homemaker
- Enumeration Date
- Nov 7, 2021
- Last Updated
- Nov 7, 2021
Practice Location
- Address
- 1933 HIBISCUS LN
- City
- Riviera Beach
- State
- Florida
- ZIP Code
- 33404-1872
- Phone
- (561) 537-0222
Specialties & Taxonomy Codes
| Specialty |
|---|
| Homemaker |
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