Individual
ELISABETH DORAN JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
20200 54TH AVE W, LYNNWOOD, WA 98036-6318
(425) 672-6518
(425) 672-6518
Mailing address
20200 54TH AVE W, LYNNWOOD, WA 98036-6318
(425) 672-6518
(425) 672-6518
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
A75610
CA
207Q00000X
Family Medicine Physician
Primary
MD60117921
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A756100
—
CA
Enumeration date
01/04/2007
Last updated
04/19/2021
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