LAZORRIA NICOLE JACKSON

LAKE PROVIDENCE, LA
NPI1881309151
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2023-01-20
Last Update Date2024-12-24
Business Address
LAZORRIA NICOLE JACKSON
1700 LAKE ST
LAKE PROVIDENCE, LA 71254-5208
Phone number: 318-559-0551
Mailing Address
LAZORRIA NICOLE JACKSON
1700 LAKE ST
LAKE PROVIDENCE, LA 71254-5208
Phone number: 318-559-0551