Individual
DR. JACOB ELI LASLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
2111 VILLAGE PARK AVE STE 100, TWIN FALLS, ID 83301-4172
(208) 944-6620
Mailing address
2111 VILLAGE PARK AVE STE 100, TWIN FALLS, ID 83301-4172
(208) 944-6620
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
14046443-1202
UT
Other
Enumeration date
08/11/2025
Last updated
08/11/2025
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