Individual
LAUREN JACOBSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
4175 S ALAMO AVE, TUCSON, AZ 85707-4402
(520) 228-1901
Mailing address
4175 S ALAMO AVE, TUCSON, AZ 85707-4402
(520) 228-1901
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10428
AZ
Other
Enumeration date
08/02/2022
Last updated
02/24/2026
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