Jackson, Lori Lee

Jackson, Lori Lee is an individual health care provider with primary practice located at 1315 E 24Th St Ste 1 , Minneapolis MN 55404-3959. She recently has only one registered license in Nursing Service Providers / Diabetes Educator, which is considered as her primary health care specialty. Jackson, Lori Lee can be contacted via phone (612) 721-9872.

Contact Information

Primary practice address
1315 E 24Th St Ste 1 Minneapolis MN 55404-3959
Phone: (612) 721-9872
Fax: (612) 721-2904
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Diabetes Educator 163WD0400X 2459891 Minnesota

Profile Details

NPI number 1073184099
LBN Legal business name Jackson, Lori Lee
Credentials RN, CDCES
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 9th, 2021
Last updated Jul 9th, 2021 - 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.

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