Lawrence-Jackson, Janis S

Lawrence-Jackson, Janis S is an sole proprietor health care provider with primary practice located at 1921 Waldemere St Suite 306, Sarasota FL 34239-2943. She recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as her primary health care specialty. Lawrence-Jackson, Janis S can be contacted via phone (941) 917-8722.

Contact Information

Primary practice address
1921 Waldemere St Suite 306 Sarasota FL 34239-2943
Fax: (941) 917-8727
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X OS 12060 Florida

Profile Details

NPI number 1063640126
LBN Legal business name Lawrence-Jackson, Janis S
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 29th, 2009
Last updated Nov 7th, 2013 - about 12 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 1063640126 NPPES
Florida Other HN486Z MEDICARE PTAN

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