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Panelvis Jackson
NPI 1780136663 · on the registry since 2016 · sole proprietor
Practice
- Address
- 615 Baronne St Ste 403
New Orleans, LA 70113 - Phone
- (504) 814-8001
- Organisation at this address
- Stone Clinical Laboratories Llc
Stone Entertainment And Production DiagnosticsInferred from a shared address, not stated in the registry. - Clinicians at this address
- 27
Registry record
- Primary taxonomy
- 171M00000X
171M00000X
- Also registered as
- 101YM0800X
- Licence states on file
- LA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-08-07
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 Louisiana