Individual
LAURIE JACOBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
21600 HIGHWAY 99, STE 280, EDMONDS, WA 98026-8012
(425) 774-2616
Mailing address
21600 HIGHWAY 99, STE 280, EDMONDS, WA 98026-8012
(425) 774-2616
Taxonomy
Speciality
Code
Description
License number
State
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
MD00044247
WA
Other
Enumeration date
07/13/2006
Last updated
04/28/2008
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