Female

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)

Code

231H00000X

Primary Taxonomy

Yes

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

Provider Address

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