Lamar Dupree Jackson
Chore Provider in Omaha, NE. Individual provider (NPI-1).
NPI number1215744248
StatusActive
Last updated in NPPESDec 12, 2024
Details
- NPI
- 1215744248
- Entity type
- Individual (NPI-1)
- Name
- Lamar Dupree Jackson
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Dec 12, 2024
- Certification date
- Dec 12, 2024
- Last updated
- Dec 12, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 372500000X | Chore Provider | – | NE | Yes |
Practice location
4156 Burt StOmaha, NE 68131-1758
Phone 402-807-9734
Mailing address
4156 Burt StOmaha, NE 68131-1758
Phone 402-807-9734
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