Search › Ohio › 2085R0205X
Laeia Jackson, MD
NPI 1003348673 · on the registry since 2017 · sole proprietor
Practice
- Address
- 5757 Park Center Ct.
Toledo, OH 43615 - Phone
- (419) 474-4064
- Fax
- (419) 472-2772
- Clinicians at this address
- 47
Additional practice sites
- 550 S Jackson St, Louisville, KY
Registry record
- Primary taxonomy
- 2085R0205X
2085R0205X
- Also registered as
- 390200000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-08-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio