Individual
DR. JOHN D JACOBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DVM, PHD
Contact information
Practice address
5040 BOB BILLINGS PKWY STE A1, LAWRENCE, KS 66049-3873
(785) 764-1357
Mailing address
243 EARHART CIR, LAWRENCE, KS 66049-4739
(785) 764-2019
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2599
KS
103T00000X
Psychologist
5229
NC
103TH0100X
Health Service Psychologist
5229
NC
Other
Enumeration date
05/07/2018
Last updated
10/27/2022
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