| NPI Details | |
|---|---|
| NPI | 1760869846 |
| Gender | Female |
| Enumeration Date | 04/28/2015 |
| Last Updated | 12/11/2015 |
| Entity Type | Individual |
| Active | Over 2 years ago |
| Practice Location | |
|---|---|
| 829 E 29TH ST SOUTH SIOUX CITY NE, 68776-3345, US |
|
| Phone | (402) 494-0106 |
| Fax | |
| Business Location | |
|---|---|
| 47636 327TH ST ELK POINT SD, 57025-6801, US |
|
| Phone | |
| Fax | |
| Toxanomy | |
|---|---|
| Taxonomy Code | 235Z00000X |
| License State | |
| License Number | |
| Remove 1760869846 NPI Number | |
According to our database, Lori Jacobs NPI is 1760869846, taxonomy code is 235Z00000X Lori Jacobs physically located at 829 E 29th St, South Sioux City NE, 68776-3345. NPI Number Lori Jacobs has the Individual type.
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1760869846 NPI number is provided on an as is basis without warranty of any kind. 1760869846 is maintained by the National Plan & Provider Enumeration System. The contents of Lori Jacobs are for informational purposes only.
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