Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. LISA MARIA JACOB, M.D.
ActiveDR. LISA MARIA JACOB, M.D. is a Plastic Surgery healthcare provider located in WILKES BARRE, Pennsylvania. NPI 1700077237 is currently active in the NPPES registry. Verify at CMS.
Plastic Surgery · WILKES BARRE, PA
Registration Details
- NPI Number
- 1700077237
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 8, 2007 (18.986424066965 yrs)
- Last Updated
- Aug 11, 2020
- Licenses
-
25MA08245300 (NJ)24109 (WV)MD452576 (PA)
Practice Information
- Address
-
675 BALTIMORE DRIVEWILKES BARRE, PA, 187023306Browse PA providers · Browse ZIP 18702
- Phone
- 5708086400
- Fax
- 5708086338
- Primary Specialty
-
Plastic Surgery
208200000X
- Additional Specialty
- Plastic Surgery
- Additional Specialty
- Plastic Surgery
Other Plastic Surgery Providers in WILKES BARRE, PA
| Name | Credential | NPI |
|---|---|---|
| DR. BRIAN B BRUGGEMAN | MD | 1356344626 |
| DR. DAVID WILLIAM ADCOCK | M.D. | 1750386066 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.