NPI 1255317293

Richard Jackson, MD

Practitioner Anatomic Pathology & Clinical Pathology Physician Lewiston, ME

Practice location

Address: 300 Main St, Lewiston, ME 04240-7007
Phone: (207) 795-2330
Mailing address: PO Box 1849, Lewiston, ME 04241-1849

Registered specialties

Anatomic Pathology & Clinical Pathology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207ZP0102X Licence 011045 (ME)

Other Pathology providers in Maine →

Registry record

NPI: 1255317293
Entity type: Individual
Sex (as registered): Male
NPI issued: 21 Dec 2005
Record last updated: 16 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.