Lavetta E Jackson
Lavetta E Jackson is an Other Technician in Lanham, Maryland. Practices as a sole proprietor. Licensed in Maryland.
- Licensed in
- MD
- In the registry since
- 2026
Practice location Address checks out
10207 Ackerly TerLanham, MD 20706-2309
Phone: (240) 271-3498
Fax: (443) 203-3172
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Specialties & licences
| Other Technician (primary) | Taxonomy 247200000X (MD) |
|---|
Record details
| NPI number | 1326950858 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | September 21, 2026 |
| Last updated in NPPES | September 21, 2026 |
| Certification date | September 20, 2026 |
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