Laurence E Jackson, M.D.
NPI #1952478950 in Patton, California
Provider Information
- NPI Number
- 1952478950
- Entity Type
- Individual
- Name
- Laurence E Jackson, M.D.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Psychiatry & Neurology - Psychiatry
- Credential
- M.D.
- Enumeration Date
- Nov 29, 2006
- Last Updated
- Apr 6, 2011
Practice Location
- Address
- 3102 E. HIGHLAND AVENUE
- Address 2
- PATTON STATE HOSPITAL
- City
- Patton
- State
- California
- ZIP Code
- 92369
- Phone
- (909) 425-7000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychiatry & Neurology - Psychiatry — Psychiatry |
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