LISA D JACKSON

Dr LISA D JACKSON is a female medical professional, specializing in Psychologist, Clinical. She graduated in 2001 from Tulane University School Of Medicine.

Contact

1745 ROUTE 9
HALFMOON
NY
120652470

Tel: 5182655264

LISA D JACKSON Information

Npi 1811012669
Pac Id 9032201066
Professional Enrollment Id I20070822001260
Last Name JACKSON
First Name LISA
Middle Name D
Suffix
Gender F
Credential
Medical School Name TULANE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year 2001
Primary Specialty PSYCHOLOGIST, CLINICAL
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Secondary Specialty 4
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Organization Legal Name
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Number Of Group Practice Members
Line 1 Street Address 1745 ROUTE 9
Line 2 Street Address
Marker Of Address Line 2 Suppression
City HALFMOON
State NY
Zip Code 120652470
Phone Number 5182655264
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
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Hospital Affiliation Ccn 3
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Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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