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Lisa Jackson
NPI 1124834858 · on the registry since 2024 · sole proprietor
Practice
- Address
- 9134 Piscataway Rd Unit 371
Clinton, MD 20735 - Phone
- (240) 444-5976
Registry record
- Primary taxonomy
- 171400000X
171400000X
- Also registered as
- 390200000X
- Sex
- Female
- Record last updated
- 2024-12-07
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Maryland