Individual
DR. LYNN MARIE JACOBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
559 VINCENT ST, 21 MDG/BDAA PEDIATRICS, COLORADO SPRINGS, CO 80914-1541
(719) 556-1145
Mailing address
559 VINCENT ST, 21 MDG/BDAA PEDIATRICS, COLORADO SPRINGS, CO 80914-1541
(719) 556-1145
(866) 867-7926
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
33770
AZ
208000000X
Pediatrics Physician
Primary
33770
AZ
Other
Enumeration date
08/31/2006
Last updated
10/24/2008
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