LACEY JACKSON (LMP) – Specialist, NPI 1417096082
Specialist
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for LACEY JACKSON (LMP)
712 TROSPER RD SW
TUMWATER, WA 985126934
Phone: (360) 570-2273
Type: Location
PO BOX 14654
TUMWATER, WA 985114654
Phone: (360) 570-2273
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 98512)
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