Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lori K Jackson, PA

Individual provider Physician Assistant · NPI 1912965880

Lori K Jackson, PA is a Physician Assistant in Lewiston, Maine. Licensed in Maine. Registered with an NPI since 2006.

Licensed in
ME
In the registry since
2006
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

300 Main St
Lewiston, ME 04240-7027
Phone: (207) 795-0111
Fax: (207) 795-2766
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA852 (ME)

Record details

NPI number1912965880
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedMay 2, 2006
Last updated in NPPESJune 3, 2016
Mailing address300 Main St, Lewiston, ME 04240-7027

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