Individual
LIONEL JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
906 CM FAGAN DR. SUITE 3B, HAMMOND, LA 70403
(985) 542-1191
(985) 400-5417
Mailing address
69 WHITMAR DR, HAMMOND, LA 70401-1089
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
LA
Other
Enumeration date
01/07/2026
Last updated
01/07/2026
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