Individual
LISA JACKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1810 LEONIDAS ST, NEW ORLEANS, LA 70118-2112
(504) 657-7274
Mailing address
1810 LEONIDAS ST, NEW ORLEANS, LA 70118-2112
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
3776
LA
Other
Enumeration date
02/22/2024
Last updated
02/22/2024
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