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

Lydia Lane Jackson, PAC

Individual provider Physician Assistant · NPI 1487642161

Lydia Lane Jackson, PAC is a Physician Assistant in Montgomery, Alabama. Licensed in Alabama. Registered with an NPI since 2005.

Licensed in
AL
In the registry since
2005
What do these letters mean?
PAC — Physician Assistant, Certified
A physician assistant holding current national certification; usually written PA-C.

See every abbreviation used in this directory →

Practice location Address checks out

215 Perry Hill Rd
Montgomery, AL 36109-3725
Phone: (334) 272-4670
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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 PA198 (AL)

Record details

NPI number1487642161
Entity typeIndividual (Type 1)
GenderFemale
Credentials PAC
Sole proprietorNo
NPI enumeratedOctober 7, 2005
Last updated in NPPESJuly 13, 2007

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