Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JASON LOU
Active Sole ProprietorJASON LOU is a Sports Medicine (PM&R) healthcare provider located in BROCKTON, Massachusetts. NPI 1649621442 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine (PM&R) · BROCKTON, MA
Registration Details
- NPI Number
- 1649621442
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 23, 2016 (10.126274128243 yrs)
- Last Updated
- Jun 7, 2022
- Licenses
-
036.150868 (IL)291672 (MA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
110 LIBERTY STBROCKTON, MA, 023015674Browse MA providers · Browse ZIP 02301
- Phone
- 5085653055
- Primary Specialty
-
Sports Medicine (PM&R)
2081S0010X
- Additional Specialty
- Sports Medicine (PM&R)
Other Sports Medicine (PM&R) Providers in BROCKTON, MA
| Name | Credential | NPI |
|---|---|---|
| MEREDITH CELINE HARRINGTON | ATC | 1134735392 |
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.