Individual
DR. LIRIN JACOB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4300 W MEMORIAL RD, OKLAHOMA CITY, OK 73120
(405) 936-5800
(405) 936-5810
Mailing address
4300 W MEMORIAL RD, OKLAHOMA CITY, OK 73120-8304
(405) 936-5800
(405) 936-5810
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
11017670A
IN
207R00000X
Internal Medicine Physician
Primary
33985
OK
Other
Enumeration date
04/03/2014
Last updated
07/27/2018
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