Individual
DR. LISA M JAACKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
8333 N DAVIS HWY FL 7, PENSACOLA, FL 32514-6050
(850) 969-2038
(850) 969-2037
Mailing address
8333 N DAVIS HWY FL 7, PENSACOLA, FL 32514-6050
(850) 969-2038
(850) 969-2037
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
156775
FL
207V00000X
Obstetrics & Gynecology Physician
34977
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
34977
LICENSE
AZ
Enumeration date
05/11/2006
Last updated
08/11/2022
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