Organization
LIFTING SPIRITS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON ALAN JACOBS (DIRECTOR)
(949) 345-5577
Entity
Organization
Contact information
Practice address
17 ENCORE CT, NEWPORT BEACH, CA 92663-2356
(949) 345-5577
Mailing address
17 ENCORE CT, NEWPORT BEACH, CA 92663-2356
(949) 345-5577
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
04/22/2015
Last updated
04/22/2015
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