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Individual

DR. LLOYDINE J. JACOBS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
229 MAIN ST UNIT 1100D, FORT LEE, NJ 07024-8823
(844) 724-6735
(855) 723-2174
Mailing address
623 LAFAYETTE AVE STE 103, HAWTHORNE, NJ 07506-2439
(844) 724-6735
(855) 723-2174

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MT194697
PA

Other

Enumeration date
07/07/2009
Last updated
04/10/2019
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