Individual
DEBORAH LYNN JACOBSON
Active
Individual
DEBORAH LYNN JACOBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2088P0231X
Pediatric Urology Physician
036.140152
IL
2088P0231X
Pediatric Urology Physician
Primary
10687955-8905
UT
2088P0231X
Pediatric Urology Physician
M-14378
ID
Other
Enumeration date
04/12/2011
Last updated
05/03/2022
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