Lisa Maria Jacob in Wilkes Barre - Plastic Surgery
Lisa Maria Jacob - NPI 1700077237
Lisa Maria Jacob is a Plastic Surgery in Wilkes Barre, Pennsylvania. Lisa Maria Jacob practices all healthcare services and medical treatments related to Plastic Surgery. The NPI Number for Lisa Maria Jacob is 1700077237. The last update date is 2020-08-11.
Lisa Maria Jacob's current location address is 675 Baltimore Drive, Wilkes Barre, Pennsylvania. You can contact this provider via phone number 5708086400 and fax number 5708086338. The mailing address for Lisa Maria Jacob is 675 Baltimore Drive, Wilkes Barre, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lisa Maria Jacob |
|---|---|
| Address | 675 Baltimore Drive, Wilkes Barre, Pennsylvania |
| Phone Number | 5708086400 |
| Fax Number | 5708086338 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1700077237 |
|---|---|
| Provider Enumeration Date | 2007-08-08 |
| Last Updated Date | 2020-08-11 |
Provider Mailing Address Detail
| Address | 675 Baltimore Drive |
|---|---|
| City | Wilkes Barre |
| State | Pennsylvania (PA) |
| Post Code | 187023306 |
| Phone Number | 5708086400 |
| Fax Number | 5708086338 |
Provider's Primary Taxonomy Detail
| Speciality | Plastic Surgery |
|---|---|
| Taxonomy | 208200000X |
| Licence No | 25MA08245300 |
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Definition: A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or c |
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What is the unique identifier code issued to Lisa Maria Jacob by the Centers for Medicare & Medicaid Services?
The Lisa Maria Jacob has been assigned the NPI (National Provider Identifier) 1700077237. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Lisa Maria Jacob's physical address?
The Lisa Maria Jacob is physically located at 675 Baltimore Drive, in the city of Wilkes Barre, PA, with the postal code 187023306.
What is Lisa Maria Jacob's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Lisa Maria Jacob is Plastic Surgery, and the taxonomy code that categorizes this field of expertise is 208200000X.
On what date did the Lisa Maria Jacob receive its 1700077237 assignment from the Centers for Medicare & Medicaid Services?
The Lisa Maria Jacob was assigned its 1700077237 by the Centers for Medicare & Medicaid Services on 2007-08-08.
As of what date was the information regarding Lisa Maria Jacob, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Lisa Maria Jacob, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-08-11.