Individual
MRS. LEXIE CATHERINE GRIMM JACKOWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1050 W INDUSTRIAL BLVD STE 17, CUMBERLAND, MD 21502-4331
(240) 964-9300
(240) 964-9310
Mailing address
13406 PERSHING ST, CUMBERLAND, MD 21502-5312
(301) 471-4063
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/18/2022
Last updated
03/20/2026
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