Individual
DR. LAUREN KATE JACOBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3333 BURNET AVE, MLC 2005, CINCINNATI, OH 45229-3026
(513) 636-8875
Mailing address
3420 SHAW AVE APT 2, CINCINNATI, OH 45208-2216
(914) 420-9288
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
A122062
CA
Other
Enumeration date
05/13/2011
Last updated
08/07/2015
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