Individual
MRS. LILA G JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2116 CAPITAL DR STE 100, WILMINGTON, NC 28405-6482
(910) 313-2111
(910) 313-2119
Mailing address
1312 EASTBOURNE DR, WILMINGTON, NC 28411-0028
(815) 922-1218
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
12828
NC
Other
Enumeration date
11/08/2006
Last updated
09/04/2025
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