Individual
DR. JACOB LOUIS DUBUC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1542 TULANE AVE, NEW ORLEANS, LA 70112-2865
(985) 502-2530
Mailing address
1352 STILLWATER DR, MANDEVILLE, LA 70471-7448
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
325397
LA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/19/2018
Last updated
07/02/2021
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