IndividualActive
Richard Jackson, M.D.
NPI 1255317293 · Anatomic Pathology & Clinical Pathology Physician · Lewiston, ME
Provider details
- NPI number
- 1255317293
- Entity type
- Individual
- Primary specialty
- Anatomic Pathology & Clinical Pathology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 011045 (ME)
Mailing address
Po Box 1849
Lewiston, ME 04241-1849
Registry dates
- Enumerated
- 2005-12-21
- Last updated
- 2007-07-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.