LAURAN DEKEASE JACKSON
NPI 1063357473
Preventive Medicine - Medical Toxicology in Petersburg, VA

Active since April 22, 2026
10543 SOUTH CRATER ROAD, PETERSBURG, VA 23805(804) 481-5259 Get Directions Write a Review

NPPES record last updated: April 22, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Lauran Dekease Jackson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAURAN DEKEASE JACKSON (NPI 1063357473) is an individual medical toxicology provider in Petersburg, Virginia, licensed in Virginia (1401115318) and active in the NPI registry since April 2026.

NPPES Registry Identity

NPI1063357473
Entity TypeIndividualFemale
Primary Taxonomy2083T0002X
Provider Legal NameLAURAN DEKEASE JACKSON
Location Address10543 SOUTH CRATER ROADPetersburg, VA 23805
Mailing Address10543 South Crater RoadPetersburg, VA 23805 · (804) 481-5259
Sole ProprietorNo
Enumeration DateApril 22, 2026
NPPES CertifiedApril 22, 2026
NPI 1063357473 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPreventive Medicine · Medical ToxicologyAllopathic & Osteopathic Physicians
Taxonomy Code2083T0002X
License Licensed in VA · 1401115318
Definition
Medical toxicologists are physicians who specialize in the prevention, evaluation, treatment and monitoring of injury and illness from exposures to drugs and chemicals, as well as biological and radiological agents. Medical toxicologists care for people in clinical, academic, governmental and public health settings, and provide poison control center leadership. Important areas of medical toxicology include acute drug poisoning, adverse drug events, drug abuse, addiction and withdrawal, chemicals and hazardous materials, terrorism preparedness, venomous bites and stings, and environmental and workplace exposures.
10543 SOUTH CRATER ROAD, Petersburg, VA 23805

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lauran Jackson's NPI number?

The NPI number for Lauran Jackson is 1063357473. It was assigned to this individual provider in the NPPES registry on April 22, 2026.

Where is Lauran Jackson located?

Lauran Jackson practices at 10543 South Crater Road, Petersburg, VA 23805. The listed phone number is (804) 481-5259.

What is Lauran Jackson's specialty?

The primary specialty registered for this NPI is Preventive Medicine, specializing in Medical Toxicology, with taxonomy code 2083T0002X.

When was this NPI record last updated?

The NPPES record for Lauran Jackson was last updated on April 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.