Individual
LORI JACOBS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
829 E 29TH ST, SOUTH SIOUX CITY, NE 68776-3345
(402) 494-0106
Mailing address
47636 327TH ST, ELK POINT, SD 57025-6801
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
04/28/2015
Last updated
12/11/2015
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