Individual
LISA JACOBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
407 ULUNIU ST, #411, KAILUA, HI 96734-2519
(808) 263-7203
Mailing address
126 WAIHILI PL, HONOLULU, HI 96825-3522
(414) 699-3956
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD-18387
HI
Other
Enumeration date
05/28/2008
Last updated
01/06/2017
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