Individual
LAURA ELIZABETH JACOBS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
AUD
Contact information
Practice address
800 HOSPITAL DR, COLUMBIA, MO 65201-5275
(573) 814-6351
Mailing address
800 HOSPITAL DR, COLUMBIA, MO 65201-5275
(573) 814-6351
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
112394
MO
Other
Enumeration date
04/12/2006
Last updated
07/08/2007
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