Lauren Nicole Jackson
NPI #1912639873 in San Juan Capistrano, California
Provider Information
- NPI Number
- 1912639873
- Entity Type
- Individual
- Name
- Lauren Nicole Jackson
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Enumeration Date
- Jun 29, 2022
- Last Updated
- Nov 25, 2024
Practice Location
- Address
- 30448 RANCHO VIEJO RD STE 150
- State
- California
- ZIP Code
- 92675-1572
- Phone
- (949) 489-0773
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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