Lauren Jackson AU.D.
Audiologist in Grand Rapids, MI(View on Map)
Full Name
Lauren Jackson AU.D.
NPI Number
1063865194
NPI Type
Individual Provider
Gender
Female
Enumeration Date
07/13/2016
Specialties
(Taxonomies)Licenses
State
Michigan
License Number
1601000743
Contact
Information
Purpose
Mailing
Location
Address
655 KENMOOR AVE SE
655 KENMOOR AVE SE
City
Grand Rapids
Grand Rapids
State
MI
MI
Postal Code
49546-8622
49546-8622
Country
US
US
Telephone Number
N/A
(616) 575-1212
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 07/13/2016