Individual
LISA MARIE CANTOR-JACOBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3000 HOSPITAL DR, BATAVIA, OH 45103-1921
(513) 732-8629
(513) 732-8626
Mailing address
3000 HOSPITAL DR, BATAVIA, OH 45103-1921
(513) 732-8629
(513) 732-8626
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
35.070977
OH
2084P0800X
Psychiatry Physician
Primary
35.070977
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2183971
—
OH
Enumeration date
12/07/2005
Last updated
06/02/2022
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