Search › Illinois › 343900000X
Laneasze Jackson
NPI 1316782865 · on the registry since 2024 · sole proprietor
Practice
- Address
- 1061 E Park St Apt 7
Carbondale, IL 62901 - Phone
- (937) 522-1592
Registry record
- Primary taxonomy
- 343900000X
343900000X
- Also registered as
- 344600000X
- Sex
- Female
- Record last updated
- 2024-06-26
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 Illinois