Individual
DR. LOIS ANN JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
505 LAGUARDIA PL, L4, NEW YORK, NY 10012-2001
(212) 995-8888
(212) 995-0131
Mailing address
505 LAGUARDIA PL, L4, NEW YORK, NY 10012-2001
(212) 995-8888
(212) 995-0131
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
033223
NY
Other
Enumeration date
05/21/2007
Last updated
07/08/2007
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