| Lisa Jackson, LPN | |
|
2619 Product Dr, Rochester Hills, MI 48309-3807 | |
| (248) 844-9650 | |
| Not Available |
| Full Name | Lisa Jackson |
|---|---|
| Gender | Female |
| Speciality | Licensed Practical Nurse |
| Location | 2619 Product Dr, Rochester Hills, Michigan |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154655488 | NPI | - | NPPES |
| 3062098 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 4703090363 (Michigan) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa Jackson, LPN 2619 Product Dr, Rochester Hills, MI 48309-3807 Ph: (248) 844-9650 | Lisa Jackson, LPN 2619 Product Dr, Rochester Hills, MI 48309-3807 Ph: (248) 844-9650 |
Seth Aguinaga, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 1902 Star Batt Dr, Rochester Hills, MI 48309 Phone: 248-844-9650 | |
Michelle B Swinton, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 2619 Product Dr, Suite 106, Rochester Hills, MI 48309 Phone: 248-844-9650 Fax: 248-855-9651 | |
Tracy Rutherford, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 1613 Star Beit Drive, Rochester Hills, MI 48309 Phone: 248-844-9650 | |
Tiffani Curtis, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 1613 Star Batt Dr, Rochester Hills, MI 48309 Phone: 248-844-9650 | |
Sylvia Nelson, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 2619 Product Dr, Rochester Hills, MI 48309 Phone: 248-844-9650 | |
Latonya Lynn Tower-trotman, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 2619 Product Dr, Suite 106, Rochester Hills, MI 48309 Phone: 248-844-9650 Fax: 248-844-9651 |