Individual
DR. DONALD SCOTT JACOBSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
5725 JOHNSTON ST, SUITE 2314, LAFAYETTE, LA 70503
(337) 984-2410
(337) 984-2416
Mailing address
5725 JOHNSTON ST, SUITE 2314, LAFAYETTE, LA 70503
(337) 984-2410
(337) 984-2416
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
LA912360T
LA
Other
Enumeration date
05/19/2006
Last updated
07/08/2007
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