Individual provider · Type 1 NPI

Karis Lavon Jackson Sr.

Electroneurodiagnostic Specialist/Technologist · Tulsa, OK

NPI number 1073887808 Active

Practice location

218 S 182nd East Ave
Tulsa, OK 74108-2133

Call (918) 691-8579 Map

Specialties and licenses

TaxonomyCodeLicense
Electroneurodiagnostic Specialist/Technologist Primary 246ZE0600X1194001412 (OK)

Electroneurodiagnostic Specialist/Technologist: Definition to come...

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About NPI 1073887808

Karis Lavon Jackson Sr.'s National Provider Identifier is 1073887808, issued on Feb 24, 2012. The primary taxonomy on file is Electroneurodiagnostic Specialist/Technologist (246ZE0600X), and the practice location is in Tulsa, OK. The record was last updated on Feb 24, 2012.