Jackson, Lorren

Jackson, Lorren is an sole proprietor health care provider with primary practice located at 530 Chicago Ave , Minneapolis MN 55415-1518. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Forensic Pathology, Allopathic & Osteopathic Physicians / Anatomic Pathology. Allopathic & Osteopathic Physicians / Forensic Pathology is his primary health care specialty. Jackson, Lorren can be contacted via phone (612) 215-6300.

Contact Information

Primary practice address
530 Chicago Ave Minneapolis MN 55415-1518
Phone: (612) 215-6300
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Forensic Pathology 207ZF0201X 52249 Minnesota
Allopathic & Osteopathic Physicians / Anatomic Pathology 207ZP0101X A86673 California

Profile Details

NPI number 1073725321
LBN Legal business name Jackson, Lorren
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 7th, 2007
Last updated Nov 12th, 2014 - about 10 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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