Individual
LYNN MARIE JACOBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
800 ROSE ST, UNIVERSITY OF KY & AFFILIATES, LEXINGTON, KY 40505
(859) 323-5871
Mailing address
245 FOUNTAIN CT, LEXINGTON, KY 40509-1888
(859) 226-7063
(859) 323-4927
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
R2500
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/11/2010
Last updated
04/18/2013
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