Lacy Jackson
Lacy Jackson is an Occupational Therapist in Baltimore, Maryland. Licensed in Maryland. Registered with an NPI since 2016.
- Licensed in
- MD
- In the registry since
- 2016
Practice location Address checks out
810 N Calvert St Apt 6Baltimore, MD 21202-3749
Phone: (512) 864-5221
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Occupational Therapist (primary) | Taxonomy 225X00000X · Licence 07487 (MD) |
|---|
Record details
| NPI number | 1578007415 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | December 12, 2016 |
| Last updated in NPPES | December 12, 2016 |
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