Jackson, Lazendre

Jackson, Lazendre is an individual health care provider with primary practice located at 1933 Hibiscus Ln , Riviera Beach FL 33404-1872. She recently has only one registered license in Nursing Service Related Providers / Homemaker, which is considered as her primary health care specialty. Jackson, Lazendre can be contacted via phone (561) 537-0222.

Contact Information

Primary practice address
1933 Hibiscus Ln Riviera Beach FL 33404-1872
Phone: (561) 537-0222
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Homemaker 376J00000X Florida

Profile Details

NPI number 1447915103
LBN Legal business name Jackson, Lazendre
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 7th, 2021
Last updated Nov 7th, 2021 - about 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447915103 NPPES
Florida MEDICAID 112157300

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