Individual
LEWIS E JACOBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8240 NAAB ROAD, SUITE 100, INDIANAPOLIS, IN 46260
(317) 274-3086
(317) 278-1886
Mailing address
11541 E WINCHESTER LN, ELLICOTT CITY, MD 21042-2040
(833) 220-2685
(317) 947-0839
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
1039371A
IN
Other
Enumeration date
04/05/2006
Last updated
08/03/2018
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