Lakilah Jackson, | |
3530 Belmont Ave Ste 2, Youngstown, OH 44505-1400 | |
(614) 339-0806 | |
Not Available |
Full Name | Lakilah Jackson |
---|---|
Gender | Female |
Speciality | Licensed Practical Nurse |
Location | 3530 Belmont Ave Ste 2, Youngstown, Ohio |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1659031722 | NPI | - | NPPES |
2910854 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
164W00000X | Licensed Practical Nurse | LPN.168689.MEDS.IV (Ohio) | Primary |
Mailing Address | Practice Location Address |
---|---|
Lakilah Jackson, 3530 Belmont Ave Ste 2, Youngstown, OH 44505-1400 Ph: (614) 339-0806 | Lakilah Jackson, 3530 Belmont Ave Ste 2, Youngstown, OH 44505-1400 Ph: (614) 339-0806 |
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