Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LYDIA LANE JACKSON, PA C
ActiveLYDIA LANE JACKSON, PA C is a Physician Assistant healthcare provider located in MONTGOMERY, Alabama. NPI 1487642161 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · MONTGOMERY, AL
Registration Details
- NPI Number
- 1487642161
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 7, 2005 (20.707314558994 yrs)
- Last Updated
- Jul 13, 2007
- License
-
PA198 (AL)
Practice Information
- Address
-
215 PERRY HILL RDMONTGOMERY, AL, 361093725Browse AL providers · Browse ZIP 36109
- Phone
- 3342724670
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in MONTGOMERY, AL
| Name | Credential | NPI |
|---|---|---|
| MR. EDWIN LANAR PHILLIPS | PA C | 1356341325 |
| JIMMY L CLEVELAND | PA | 1639137292 |
| LEIA MARLENA THORNTON | PAC | 1376597518 |
| SAMUEL OLIVER STARKE IRVINE JR. | PA-C | 1376590059 |
| DERRICK MICHAEL JOHNSON | PA-C | 1588784565 |
| MRS. ELLEN SHEA BURCH-BURKHALTER | PA-C | 1154570760 |
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.