Individual
MRS. LISA MARIE JACOBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
8900 STATE ROUTE 134, LYNCHBURG, OH 45142-9272
(937) 364-2346
Mailing address
PO BOX 637736, CINCINNATI, OH 45263-7736
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
329999
OH
363L00000X
Nurse Practitioner
Primary
29297
OH
Other
Enumeration date
07/23/2012
Last updated
02/28/2025
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