LORI JACKSON

Chore Provider

Active Individual
NPI: 1407088248

Practice Address

3103 S DARTMOUTH ST
Detroit, MI 48217

Phone: (313) 739-4339

Specialties

Specialty Code Primary License
Private Vehicle 347C00000X No J250546227628 (MI)
Chore Provider 372500000X Yes -

Frequently Asked Questions

NPI 1407088248 is the National Provider Identifier for LORI JACKSON, a Chore Provider provider located in Detroit, MI. This NPI was enumerated on August 12, 2009.
LORI JACKSON practices at 3103 S DARTMOUTH ST, Detroit, MI 48217.

Quick Facts

NPI
1407088248
Type
Individual
Enumerated
Aug 12, 2009
Last Updated
Aug 12, 2009

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