Jackson, Lisa M
Jackson, Lisa M is an individual health care provider with primary practice located at 210 Medical Dr , Natchitoches LA 71457-6052. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Jackson, Lisa M can be contacted via phone (318) 357-3122.Contact Information
Primary practice address
210 Medical Dr
Natchitoches LA 71457-6052
Phone: (318) 357-3122
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Case Manager/Care Coordinator | 171M00000X | ||
Behavioral Health & Social Service Providers / Professional | 101YP2500X | 7749 | Louisiana |
Profile Details
NPI number | 1184076630 |
---|---|
LBN Legal business name | Jackson, Lisa M |
Credentials | PLPC |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 8th, 2016 |
Last updated | Apr 29th, 2022 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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