Individual
LIA JACOBSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1200 N STATE ST, LOS ANGELES, CA 90033-1029
(323) 409-5088
Mailing address
1200 N STATE ST, LOS ANGELES, CA 90033-1029
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
140203
CA
Other
Enumeration date
01/28/2016
Last updated
01/28/2016
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