Lisa Waite Jacobson in Cadillac - Facial Plastic Surgery
Lisa Waite Jacobson - NPI 1922073766
Lisa Waite Jacobson is a Facial Plastic Surgery in Cadillac, Michigan. Lisa Waite Jacobson practices all healthcare services and medical treatments related to Facial Plastic Surgery. The NPI Number for Lisa Waite Jacobson is 1922073766. The last update date is 2007-10-24.
Lisa Waite Jacobson's current location address is 8872 Professional Dr, Cadillac, Michigan. You can contact this provider via phone number 2317796260 and fax number 2317796264. The mailing address for Lisa Waite Jacobson is 8872 Professional Dr, Cadillac, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lisa Waite Jacobson |
|---|---|
| Address | 8872 Professional Dr, Cadillac, Michigan |
| Phone Number | 2317796260 |
| Fax Number | 2317796264 |
| Sole Proprietor | Y |
| Credentials | D.O. |
NPI Number Detail
| NPI Number | 1922073766 |
|---|---|
| Provider Enumeration Date | 2006-02-22 |
| Last Updated Date | 2007-10-24 |
Provider Mailing Address Detail
| Address | 8872 Professional Dr |
|---|---|
| City | Cadillac |
| State | Michigan (MI) |
| Post Code | 496018481 |
| Phone Number | 2317796260 |
| Fax Number | 2317796264 |
Provider's Primary Taxonomy Detail
| Speciality | Facial Plastic Surgery |
|---|---|
| Taxonomy | 207Ys0123X |
| Licence No | 5101013549 |
|
Definition: An otolaryngologist who specializes in facial plastic surgery. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4420424 | MI | -- |
Post Comment/ Review Below
What is the Lisa Waite Jacobson's unique identification number?
The Lisa Waite Jacobson has been assigned the NPI (National Provider Identifier) Number 1922073766 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of Lisa Waite Jacobson?
The Lisa Waite Jacobson is situated at 8872 Professional Dr, in the city of Cadillac, state of MI, with the zip code 496018481.
What is the area of specialization for Lisa Waite Jacobson, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Lisa Waite Jacobson is Facial Plastic Surgery, and the corresponding taxonomy code that categorizes this area of expertise is 207Ys0123X.
On what date did the Lisa Waite Jacobson receive the assignment of its 1922073766 from the Centers for Medicare & Medicaid Services?
The Lisa Waite Jacobson was issued its 1922073766 by the Centers for Medicare & Medicaid Services on 2006-02-22.
When was the Lisa Waite Jacobson's information last updated?
The Lisa Waite Jacobson's information was last updated on 2007-10-24.
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