NPI 1518699206
Lara Cameron Jackson
Practice location
- Address
- 4617 S Pioneer Rd STE 103, St George, UT 84790-5156
- Phone
- (435) 767-9094
- Mailing address
- 2421 E 390 N, Saint George, UT 84790-1117
Registered specialties
Physical Therapy Assistant
Primary
Registry record
- NPI
- 1518699206
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 30 Jun 2022
- Record last updated
- 30 Jun 2022
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.