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Individual

LISA FIELDS-JACOBSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DC

Contact information

Practice address
169 MAIN ST, NEW PALTZ, NY 12561-1119
(845) 256-2220
Mailing address
PO BOX 326, ROSENDALE, NY 12472-0326
(845) 256-2220

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
CR1527
ME
111N00000X
Chiropractor
Primary
X0057601
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
465745R
EMPIRE
01
WCBC057606
WORKERS COMP
NY
Enumeration date
04/07/2006
Last updated
06/05/2017
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