Individual
DR. JACOBI LAZAR LUDWIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1905 PLAZA DR, EAGAN, MN 55122-2883
(651) 686-6678
(805) 529-0102
Mailing address
217 W LOS ANGELES AVE, MOORPARK, CA 93021-1867
(805) 529-0100
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
63228
CA
1223G0001X
General Practice Dentistry
D12085
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
78420600
—
MN
Enumeration date
12/08/2006
Last updated
10/07/2014
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