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Lacey Jackson, LMP
NPI 1417096082 · Specialist · Tumwater, WA
Lacey Jackson, LMP is a Specialist provider in Tumwater, WA (NPI 1417096082).
Provider details
- NPI number
- 1417096082
- Entity type
- Individual
- Primary specialty
- SpecialistOther Service Providers
- Credential
- LMP
- Sex
- Female
- Sole proprietor
- Yes
- License
- MA00013081 (WA)
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
712 Trosper Rd Sw
Tumwater, WA 98512-6934
Phone: (360) 570-2273
Street-level locationGet directions
Mailing address
Po Box 14654
Tumwater, WA 98511-4654
Registry dates
- Enumerated
- 2007-02-06
- Last updated
- 2007-07-08
Frequently asked questions
- What is Lacey Jackson's NPI number?
- Lacey Jackson's National Provider Identifier (NPI) is 1417096082, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Lacey Jackson's specialty?
- Lacey Jackson is listed in the NPPES registry with a primary specialty of Specialist (Other Service Providers).
- Where is Lacey Jackson located?
- Lacey Jackson's practice location on file with NPPES is 712 Trosper Rd Sw, Tumwater, WA 98512-6934.
- What is Lacey Jackson's phone number?
- The practice phone number listed in the NPPES registry for Lacey Jackson is (360) 570-2273.
- Is Lacey Jackson's NPI active?
- Yes — Lacey Jackson's NPI (1417096082) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.