NPI 1003348673

Laeia B Jackson, MD

Practitioner Radiological Physics Physician Toledo, OH

Practice location

Address: 5757 Park Center CT., Toledo, OH 43615
Phone: (419) 474-4064
Fax: (419) 472-2772

Registered specialties (2)

Radiological Physics Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2085R0205X Licence 4301507021 (MI)

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Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1003348673
Entity type: Individual
Sex (as registered): Female
NPI issued: 1 Apr 2017
Record last updated: 8 Aug 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.