Individual
DR. LAURA D. JACOBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
ONE MEDICAL CENTER BLVD, CROZER-CHESTER MEDICAL CENTER, UPLAND, PA 19013
(610) 447-2237
(610) 447-2274
Mailing address
ONE MEDICAL CENTER BLVD., CROZER-CHESTER MEDICAL CENTER, UPLAND, PA 19013
(610) 447-2237
(610) 447-2274
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
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