Jackson, Lucia

Jackson, Lucia is an individual health care provider with primary practice located at 15476 Dedeaux Rd Ste A , Gulfport MS 39503-2637. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Jackson, Lucia can be contacted via phone (228) 215-0700.

Contact Information

Primary practice address
15476 Dedeaux Rd Ste A Gulfport MS 39503-2637
Phone: (228) 215-0700
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X OT-4216 Mississippi
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X OTT.Z10872 Louisiana

Profile Details

NPI number 1932579380
LBN Legal business name Jackson, Lucia
Credentials LOT, CHT
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 29th, 2015
Last updated Oct 22nd, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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