Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LEWIS JACKSON, PHD
ActiveLEWIS JACKSON, PHD is a 247ZC0005X healthcare provider located in LOUISVILLE, Kentucky. NPI 1376138347 is currently active in the NPPES registry. Verify at CMS.
247ZC0005X · LOUISVILLE, KY
Registration Details
- NPI Number
- 1376138347
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 2, 2021 (5.4294692184341 yrs)
- Last Updated
- Mar 2, 2021
Practice Information
- Address
-
111 N HUBBARDS LN STE 1LOUISVILLE, KY, 402073902Browse KY providers · Browse ZIP 40207
- Phone
- 8594752184
- Primary Specialty
-
247ZC0005X
247ZC0005X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.