Individual
LISA M JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
915 CHANDLER AVE, LINDEN, NJ 07036-2086
(908) 380-5884
Mailing address
35 BURNS VIEW CT, LAWRENCEVILLE, GA 30044-7752
(908) 380-5884
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
12/04/2023
Last updated
12/04/2023
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