Individual
DR. LACEY JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4172 BUCKEYE PKWY, GROVE CITY, OH 43123-8175
(614) 782-9048
Mailing address
4172 BUCKEYE PKWY, GROVE CITY, OH 43123-8175
(614) 782-9048
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT.007078
OH
Other
Enumeration date
06/14/2022
Last updated
08/02/2022
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