Jackson, Lydia Lane

Jackson, Lydia Lane is an individual health care provider with primary practice located at 215 Perry Hill Rd , Montgomery AL 36109-3725. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Jackson, Lydia Lane can be contacted via phone (334) 272-4670.

Contact Information

Primary practice address
215 Perry Hill Rd Montgomery AL 36109-3725
Phone: (334) 272-4670
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA198 Alabama

Profile Details

NPI number 1487642161
LBN Legal business name Jackson, Lydia Lane
Credentials PA C
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 7th, 2005
Last updated Jul 13th, 2007 - about 17 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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