Lydia Lane Jackson in Montgomery - Physician Assistant
Lydia Lane Jackson - NPI 1487642161
Lydia Lane Jackson is a Physician Assistant in Montgomery, Alabama. Lydia Lane Jackson practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Lydia Lane Jackson is 1487642161. The last update date is 2007-07-13.
Lydia Lane Jackson's current location address is 215 Perry Hill Rd, Montgomery, Alabama. You can contact this provider via phone number 3342724670. The mailing address for Lydia Lane Jackson is 215 Perry Hill Rd, Montgomery, Alabama. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lydia Lane Jackson |
|---|---|
| Address | 215 Perry Hill Rd, Montgomery, Alabama |
| Phone Number | 3342724670 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PA C |
NPI Number Detail
| NPI Number | 1487642161 |
|---|---|
| Provider Enumeration Date | 2005-10-07 |
| Last Updated Date | 2007-07-13 |
Provider Mailing Address Detail
| Address | 215 Perry Hill Rd |
|---|---|
| City | Montgomery |
| State | Alabama (AL) |
| Post Code | 361093725 |
| Phone Number | 3342724670 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA198 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Post Comment/ Review Below
What is the unique identification code assigned to Lydia Lane Jackson by the Centers for Medicare & Medicaid Services?
The Lydia Lane Jackson has been issued the NPI (National Provider Identifier) 1487642161. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Lydia Lane Jackson's facilities are geographically located?
The facilities of Lydia Lane Jackson are physically situated at the following location: 215 Perry Hill Rd, Montgomery, AL, 361093725.
What is Lydia Lane Jackson's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Lydia Lane Jackson is Physician Assistant, and the taxonomy code that categorizes this field of expertise is 363A00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1487642161 to Lydia Lane Jackson?
The Lydia Lane Jackson received its 1487642161 assignment from the Centers for Medicare & Medicaid Services on 2005-10-07.
As of what date was the information pertaining to Lydia Lane Jackson, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Lydia Lane Jackson, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-13.