Jackson, Lucy O
Jackson, Lucy O is an individual health care provider with primary practice located at 515 Fairburn Rd Sw Ste 350 , Atlanta GA 30331-2012. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Jackson, Lucy O can be contacted via phone (404) 505-6754.Contact Information
Primary practice address
515 Fairburn Rd Sw Ste 350
Atlanta GA 30331-2012
Phone: (404) 505-6754
Fax: (404) 505-6758
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dietary & Nutritional Service Providers / Dietitian, Registered | 133V00000X | LD001368 | Georgia |
Profile Details
| NPI number | 1538282603 |
|---|---|
| LBN Legal business name | Jackson, Lucy O |
| Credentials | MSC, RD,CNS,IBCLC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 6th, 2007 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
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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