Individual
LAKEN JACOBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7500 UNIVERSITY DR, BISMARCK, ND 58504-9652
(701) 855-8030
Mailing address
404 PHEASANT DR, SOUTH HEART, ND 58655-9720
(701) 260-2829
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
ND
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
ND
Other
Enumeration date
01/16/2026
Last updated
01/16/2026
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