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

Lacorsha Jackson

Individual provider Other Technician · NPI 1336684430

Lacorsha Jackson is an Other Technician in Novi, Michigan. Registered with an NPI since 2016.

In the registry since
2016

Practice location Address checks out

41521 W 11 Mile Rd
Novi, MI 48375-1803
Phone: (248) 299-0030
Show map & directions

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

Specialties & licences

Other Technician (primary) Taxonomy 247200000X

Record details

NPI number1336684430
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 27, 2016
Last updated in NPPESMay 9, 2017
Mailing address32100 Telegraph Rd, Bingham Farms, MI 48025-2452

Other providers in Novi