DR. LAWRENCE JACKSON (NPI# 1164944476) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164944476 |
| Entity Type | Individual |
| Full Name | DR. LAWRENCE JACKSON |
| Practice Address |
141 Runnymede Dr East Stroudsburg PA 18301 |
| Practice Telephone | (570) 476-4279 |
| Mailing Telephone | 5704764279 |
| Enumeration Date | 2017-07-10 |
| Last Update Date | 2017-07-10 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YS0200X |
Counselor Specialization: School |
816049142 | PA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 00000000000000000000 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740414937 | Lawrence Jackson Jr. | Pharmacist | 3700 Devereaux Ct, Avondale, LA 70094-2589 | 2009-05-04 |
| 1386794816 | Lawrence Richard Jackson Jr. | Family Medicine | 102 Hillwood Dr, Waverly, TN 37185 | 2007-01-10 |
| 1710596267 | Lawrence Jackson | Marriage & Family Therapist | 10655 Park Run Dr, Las Vegas, NV 89144-4589 | 2020-07-29 |
| Street Address |
141 RUNNYMEDE DR |
| City | EAST STROUDSBURG |
| State | PA |
| Zip Code | 18301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225550502 | Jonnie R. Jackson | Counselor | 141 Runnymede Dr, East Stroudsburg, PA 18301-6958 | 2017-07-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801405030 | Gabrielle Nicole Hahn | Specialist/Technologist | 213 Smith Street, East Stroudsburg, PA 18301 | 2020-07-23 |
| 1730601246 | Eliezer Candelario | Case Manager/Care Coordinator | 255 Abeel Rd, East Stroudsburg, PA 18301 | 2017-07-17 |
| 1154843084 | Oludamilola Olatunde Oke | Homemaker | 170 North Courtland Street, East Stroudsburg, PA 18301 | 2017-07-12 |
| 1205369451 | My Lab Choice, Inc | Clinical Medical Laboratory | 391 East Brown Street, Lower Level, East Stroudsburg, PA 18301 | 2017-04-05 |
| 1538610498 | Northland Hearing Centers, Inc. | Hearing Aid Equipment | 400 Plaza Ct Ste B, East Stroudsburg, PA 18301 | 2016-10-17 |
| 1962863423 | Ryan Mackiewicz | Student in an Organized Health Care Education/Training Program | 68 Brown St, East Stroudsburg, PA 18301 | 2016-03-11 |
| 1437524139 | Derek Oliver | Massage Therapist | 146 Azalea Drive, East Stroudsburg, PA 18301 | 2015-12-07 |
| 1093182529 | Bathsheba Etheridge | Contractor | 128 Pasquin Drive, East Stroudsburg, PA 18301 | 2015-09-01 |
| 1538581533 | Care Plus Oxygen, Inc. | Durable Medical Equipment & Medical Supplies | 114 Columbia Dr Ste 10, East Stroudsburg, PA 18301 | 2014-01-09 |
| 1457789117 | Premier Pain Spine and Sports Medicine PC | Specialist | 391 East Brown Street, East Stroudsburg, PA 18301 | 2013-10-16 |
| Find all providers in zip 18301 | ||||
| Taxonomy Code | 101YS0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033772405 | Jesse Willard Woods IIi | Counselor | 1410 N 31st St, Philadelphia, PA 19121-3870 | 2019-04-20 |
| 1255814117 | Devin Mary Sioma | Counselor | Dciu Education Center, 100 Crozerville Road, Aston, PA 19014 | 2018-09-07 |
| 1104354240 | Linda Alene Gates | Counselor | 589 Union Ave, Pittsburgh, PA 15202-2958 | 2017-06-02 |
| 1154871531 | Sarah Kodish-eskind | Counselor | 1340 Moore St, Philadelphia, PA 19148-1528 | 2016-10-10 |
| 1942750336 | Karen Good | Counselor | 1 S Kauffman Aly, Manheim, PA 17545-1431 | 2016-10-10 |
| 1922555077 | Lynda Finan | Counselor | 474 Grove Street, Wayne Highlands School District, Honesdale, PA 18431-6605 | 2016-09-07 |
| 1033665765 | Henry Lewis | Counselor | 210 Felton Ave, Sharon Hill, PA 19079-2105 | 2016-09-01 |
| 1104274208 | Erin Mccarthy Mcmonagle | Counselor | 1079 Maykut Ave, Collegeville, PA 19426-2434 | 2016-05-30 |
| 1114382322 | Christen Rose Stricker | Counselor | 29 Black Matt Rd, Douglassville, PA 19518-9705 | 2015-12-15 |
| 1003289125 | Ashley Diggs | Counselor | 412 E Chelten Ave, Philadelphia, PA 19144-5754 | 2015-11-11 |
| Find all providers with the same taxonomy | ||||
| City | EAST STROUDSBURG |
| Zip Code | 18301 |
Please comment or provide details below to improve the information on DR. LAWRENCE JACKSON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.