Individual
LAUREN JAKUBISIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
1 PARKVIEW PL, SAINT LOUIS, MO 63110-1038
(314) 747-3000
Mailing address
4466 W PINE BLVD APT 6B, SAINT LOUIS, MO 63108-2330
(704) 277-2774
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
0001331621
VA
Other
Enumeration date
04/23/2026
Last updated
04/23/2026
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