Jackson, Lasandra D
Jackson, Lasandra D is an individual health care provider with primary practice located at 2755 S Highway 14 Suite 2200, Greer SC 29650-4902. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. Jackson, Lasandra D can be contacted via phone (864) 849-9555.Contact Information
Primary practice address
2755 S Highway 14 Suite 2200
Greer SC 29650-4902
Phone: (864) 849-9555
Fax: (864) 849-9556
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 0101240815 | Virginia |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 20289 | South Carolina |
Profile Details
| NPI number | 1356429674 |
|---|---|
| LBN Legal business name | Jackson, Lasandra D |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 2nd, 2006 |
| Last updated | Jul 25th, 2019 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1356429674 | NPPES |
| South Carolina | MEDICAID | 202890 | |
| South Carolina | Other | C09633 | |
| South Carolina | Other | C06695 |
Popular Providers
-
Maben, Robert E
575 S 70Th St Ste 310, Lincoln NE 68510-2471 -
White, Patrick W.
5700 Monroe St Unit 101 , Sylvania OH 43560-2779 -
Lepage, Paul Anthony
2755 S Highway 14 Ste 2200 , Greer SC 29650-4936 -
Kinney, Michael R
1700 W Central Rd Ste 50 , Arlington Heights IL 60005-2477 -
Brenda, Derek Steven
2755 S Highway 14 Suite 2500, Greer SC 29650-4902 -
Schmidt, Portia
340 Medical Pkwy Ste 200 , Greer SC 29650-2441 -
Patel, Rupal K
340 Medical Pkwy Ste 200 , Greer SC 29650-2441 -
Murray, Barbara Sharon
340 Medical Pkwy Ste 250 , Greer SC 29650-2441