LAURENCE E JACKSON

PATTON, CA
NPI1952478950
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: CA  G38408)
Enumeration Date2006-11-29
Last Update Date2011-04-06
Business Address
-- LAURENCE E JACKSON M.D.
3102 E. HIGHLAND AVENUE PATTON STATE HOSPITAL
PATTON, CA 92369
Phone number: 909-425-7000
Mailing Address
-- LAURENCE E JACKSON M.D.
1600 9TH STREET ROOM 205, MAILSTOP 2-3
SACRAMENTO, CA 94244-2020
Phone number: 916-654-3482
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