Individual
DR. LAURA L JAKIOUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1162 WILLAMETTE ST, EUGENE, OR 97401-3568
(541) 687-6016
(541) 302-4733
Mailing address
PO BOX 24410, EUGENE, OR 97402-0451
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD14547
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
141291
—
OR
Enumeration date
02/24/2006
Last updated
11/23/2009
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