Organization
LAWRENCE M. JACOBY, M.D., PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JODIE JACOBY (OFFICE MANAGER)
(860) 673-1667
Entity
Organization
Contact information
Practice address
18 W AVON RD, AVON, CT 06001-3583
(860) 673-1667
(860) 673-1544
Mailing address
18 W AVON RD, AVON, CT 06001-3583
(860) 673-1667
(860) 673-1544
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
016756
CT
174400000X
Specialist
022522
CT
363A00000X
Physician Assistant
Primary
000178
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010016756CT01
BCBS ANTHEM CONNECTICUT
CT
01
—
18000
CONNECTICARE PA
CT
01
—
290000178CT01
BCBS ANTHEM CT -- PA
DE
01
—
44259
AETNA
CT
01
—
701896
CONNECTICARE DR.
CT
01
—
731541
PHCS
CT
01
—
P1595383
OXFORD
CT
Enumeration date
06/18/2007
Last updated
09/11/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us