Individual provider · Type 1 NPI

Lydia Lane Jackson, PA C

Physician Assistant · Montgomery, AL

NPI number 1487642161 Active

Practice location

215 Perry Hill Rd
Montgomery, AL 36109-3725

Call (334) 272-4670 Map

Mailing address

7028 Cross Bend Ct
Montgomery, AL 36117-2445

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA198 (AL)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1487642161

Lydia Lane Jackson, PA C's National Provider Identifier is 1487642161, issued on Oct 7, 2005. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Montgomery, AL. The record was last updated on Jul 13, 2007.