Lakeberg, Jennifer L

Lakeberg, Jennifer L is an individual health care provider with primary practice located at 1 Childrens Plz , Dayton OH 45404-1815. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Physician Assistants & Advanced Practice Nursing Providers / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. Lakeberg, Jennifer L can be contacted via phone (937) 641-3600.

Contact Information

Primary practice address
1 Childrens Plz Dayton OH 45404-1815
Phone: (937) 641-3600
Fax: (937) 641-5802
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X APRN.CNP.14477 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X APRN.CNP.14477 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X APRN.CNP.14477 Ohio

Profile Details

NPI number 1295168409
LBN Legal business name Lakeberg, Jennifer L
Credentials Pediatric Nurse Practitioner (PNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 12th, 2013
Last updated May 28th, 2026 - about 5 months 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 1295168409 NPPES
Ohio MEDICAID 0102190

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