IndividualActive
Lauren Jackson, AU.D.
NPI 1063865194 · Audiologist · Grand Rapids, MI
Lauren Jackson, AU.D. is a Audiologist provider in Grand Rapids, MI (NPI 1063865194).
Provider details
- NPI number
- 1063865194
- Entity type
- Individual
- Primary specialty
- AudiologistSpeech, Language and Hearing Service Providers
- Credential
- AU.D.
- Sex
- Female
- Sole proprietor
- No
- License
- 1601000743 (MI)
Practice location
655 Kenmoor Ave Se
Ste a
Grand Rapids, MI 49546-8622
Phone: (616) 575-1212
Street-level locationGet directions
Mailing address
655 Kenmoor Ave Se
Grand Rapids, MI 49546-8622
Registry dates
- Enumerated
- 2016-07-13
- Last updated
- 2016-07-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.