Lauri Jacobs RD,CDE

NPI 1033130414 - Dietitian, Registered - 133V00000X

NPI Details
NPI 1033130414
Gender Female
Enumeration Date 07/21/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
905 UNION ST
SUITE 11
BANGOR ME, 04401-3050, US
Phone (207) 973-7334
Fax (207) 973-7424
Business Location
905 UNION ST
SUITE 11
BANGOR ME, 04401-3050, US
Phone (207) 973-7334
Fax (207) 973-7424
Toxanomy
Taxonomy Code 133V00000X
License State Maine
License Number DI1548
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According to our database, Lauri Jacobs RD,CDE NPI is 1033130414, taxonomy code is 133V00000X and license number is DI1548, license state is located at Maine. Lauri Jacobs RD,CDE physically located at 905 Union St, Bangor ME, 04401-3050. NPI Number Lauri Jacobs RD,CDE has the Individual type.

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1033130414 NPI number is provided on an as is basis without warranty of any kind. 1033130414 is maintained by the National Plan & Provider Enumeration System. The contents of Lauri Jacobs RD,CDE are for informational purposes only.