| Lauran Dekease Jackson, | |
|
10543 South Crater Road, Petersburg, VA 23805 | |
| (804) 481-5259 | |
| Not Available |
| Full Name | Lauran Dekease Jackson |
|---|---|
| Gender | Female |
| Speciality | Preventive Medicine - Medical Toxicology |
| Location | 10543 South Crater Road, Petersburg, Virginia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063357473 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2083T0002X | Preventive Medicine - Medical Toxicology | 1401115318 (Virginia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Lauran Dekease Jackson, 10543 South Crater Road, Petersburg, VA 23805 Ph: (804) 481-5259 | Lauran Dekease Jackson, 10543 South Crater Road, Petersburg, VA 23805 Ph: (804) 481-5259 |
Dr. Charles Konigsberg Jr., MD Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 301 Halifax St, Petersburg, VA 23803 Phone: 804-863-1652 Fax: 804-862-6126 | |
Michael O Royster, MD, MPH Preventive Medicine Medicare: Not Enrolled in Medicare Practice Location: 301 Halifax St, Petersburg, VA 23803 Phone: 804-863-1652 Fax: 804-862-6126 |