LISA A JACKSON

SEATTLE, WA
NPI1639299290
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2083P0901X Preventive Medicine, Public Health & General Preventive Medicine
(Licence: WA  MD00027646)
Enumeration Date2007-03-29
Last Update Date2009-09-30
Business Address
-- LISA A JACKSON M.D.
1730 MINOR AVE
SEATTLE, WA 98101-1498
Phone number: 206-442-5216
Mailing Address
-- LISA A JACKSON M.D.
PO BOX 34584
SEATTLE, WA 98124-1584
Phone number: 509-241-7349
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