Individual provider · Type 1 NPI

Lacorsha Jackson

Other Technician · Novi, MI

NPI number 1336684430 Active

Practice location

41521 W 11 Mile Rd
Novi, MI 48375-1803

Call (248) 299-0030 Map

Mailing address

32100 Telegraph Rd
Bingham Farms, MI 48025-2452

Specialties and licenses

TaxonomyCodeLicense
Other Technician Primary 247200000XNone listed

Other Technician: A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user.

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About NPI 1336684430

Lacorsha Jackson's National Provider Identifier is 1336684430, issued on Dec 27, 2016. The primary taxonomy on file is Other Technician (247200000X), and the practice location is in Novi, MI. The record was last updated on May 9, 2017.