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Melissa Lousie Jackson
Sports Medicine (Neuromusculoskeletal Medicine) Physician in Scarborough, Maine
NPI 1497064695

Melissa Lousie Jackson is a Sports Medicine (Neuromusculoskeletal Medicine) Physician based in Scarborough, ME. Melissa Lousie Jackson practices in Scarborough, ME. The NPI Number for Melissa Lousie Jackson is 1497064695 and holds a License No. MT3643 (Maine).

The current practice location address for Melissa Lousie Jackson is 4 Victory Ln, Scarborough, ME and can be reached out via phone at 207-939-7627.

Location: 4 Victory Ln, Scarborough, ME, 04074-8486
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1497064695
Provider Name
Melissa Lousie Jackson
Credential
Provider Entity Type
Individual
Gender
Female
Address
4 Victory Ln, Scarborough, ME, 04074-8486
Phone Number
207-939-7627
Fax Number
Provider Enumeration Date
10/05/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4 Victory Ln
City
Scarborough
State
Maine
Zip
04074-8486
Phone Number
207-939-7627
Fax Number
person
Provider Business Mailing Address Details
Address
4 Victory Ln
City
Scarborough
State
Maine
Zip
04074-8486
Phone Number
207-939-7627
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Neuromusculoskeletal Medicine, Sports Medicine
Speciality
-
Taxonomy
204C00000X
License No.
MT3643 (Maine)
Definition
Definition to come.
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