LAURAN DEKEASE JACKSON
NPI 1063357473
Preventive Medicine - Medical Toxicology in Petersburg, VA
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
Specialties & Licenses
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.