National Provider Identifier
Laurletha Renay Jackson
Laurletha Renay Jackson is listed in the NPPES registry with a primary specialty of Non-emergency Medical Transport (VAN) in Buffalo, NY and a listed phone number of (716) 424-4445.
Profile Overview
- NPI
- 1093283384
- Provider Type
- Individual
- Primary Specialty
- Non-emergency Medical Transport (VAN)
- Enumeration Date
- November 05, 2018
- Last Updated
- November 05, 2018
Practice Location
- 99 Reiman St
- Buffalo, NY 14206-1140
Phone: (716) 424-4445
Specialties
- Non-emergency Medical Transport (VAN) (343900000X)
Full Record
- NPI
- 1093283384
- Entity Type
- Individual
- Last Name
- Jackson
- First Name
- Laurletha
- Middle Name
- Renay
- Mailing Street Address
- 99 Reiman St
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14206-1140
- Mailing Country
- US
- Mailing Phone
- (716) 424-4445
- Practice Street Address
- 99 Reiman St
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14206-1140
- Practice Country
- US
- Practice Phone
- (716) 424-4445
- Enumeration Date
- November 05, 2018
- Last Updated
- November 05, 2018
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Non-emergency Medical Transport (VAN) (343900000X)