Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

De Lorenco L Jackson

Individual provider Infectious Diseases Pharmacist · NPI 1558207845

De Lorenco L Jackson is an Infectious Diseases Pharmacist in Kalamazoo, Michigan. Licensed in Michigan. Registered with an NPI since 2026.

Licensed in
MI
In the registry since
2026

Practice location Address checks out

8089 Stadium Dr Ste B
Kalamazoo, MI 49009-6270
Phone: (616) 681-3828
Fax: (269) 869-5905
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Infectious Diseases Pharmacist (primary) Taxonomy 1835I0206X · Licence 5306008385 (MI)

Record details

NPI number1558207845
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 28, 2026
Last updated in NPPESApril 28, 2026
Certification dateApril 28, 2026