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Individual
DR. LISA JACOBS
Active
Individual
DR. LISA JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
25MA11471200
NJ
2084P0804X
Child & Adolescent Psychiatry Physician
316492-01
NY
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
A148928
CA
Other
Enumeration date
04/07/2014
Last updated
09/22/2023
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