# DR. LISA JACOBS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1316366347
- **Gender:** F
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084P0804X | Child & Adolescent Psychiatry Physician | 25MA11471200 | NJ | — |
| 2084P0804X | Child & Adolescent Psychiatry Physician | 316492-01 | NY | — |
| 2084P0804X | Child & Adolescent Psychiatry Physician | A148928 | CA | Yes |

## Other

- **Enumeration date:** 04/07/2014
- **Last updated:** 09/22/2023