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Individual

DR. LAURA D. JACOBSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
MD032910E
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01122616
PA
01
0203517
LABOR & INDUSTRIES
WA
01
1776JA
REGENCE
WA
05
8439770
WA
01
9109177609
KPS
WA
Enumeration date
10/03/2006
Last updated
10/14/2015
Update your record

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