Individual
LAURI JACOBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD,CDE
Contact information
Practice address
905 UNION ST, SUITE 11, BANGOR, ME 04401-3050
(207) 973-7334
(207) 973-7424
Mailing address
43 WHITING HILL RD STE 300, BREWER, ME 04412-1006
(207) 973-7334
(207) 973-7424
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DI1548
ME
Other
Enumeration date
07/21/2006
Last updated
10/20/2017
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