LORI JACKSON, P.A.
Physician Assistant
Active
Individual
NPI: 1912965880
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant | 363A00000X | Yes | PA852 (ME) |
Frequently Asked Questions
NPI 1912965880 is the National Provider Identifier for LORI JACKSON, P.A., a Physician Assistant provider located in Lewiston, ME. This NPI was enumerated on May 2, 2006.
LORI JACKSON, P.A. practices at 300 MAIN ST, Lewiston, ME 04240.
Quick Facts
- NPI
- 1912965880
- Type
- Individual
- Enumerated
- May 2, 2006
- Last Updated
- Jun 3, 2016
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