Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. LOURDES R JACOBO, M.D.
Active Sole ProprietorDR. LOURDES R JACOBO, M.D. is a Pediatrics healthcare provider located in PRESCOTT, Arizona. NPI 1861548679 is currently active in the NPPES registry. Verify at CMS.
Pediatrics · PRESCOTT, AZ
Registration Details
- NPI Number
- 1861548679
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 26, 2007 (19.558841021754 yrs)
- Last Updated
- Aug 25, 2016
- Licenses
-
23974 (NJ)40096 (AZ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2120 CENTERPOINTE WEST DRPRESCOTT, AZ, 863018487Browse AZ providers · Browse ZIP 86301
- Phone
- 9287784581
- Fax
- 9287761872
- Primary Specialty
-
Pediatrics
208000000X
- Additional Specialty
- Pediatrics
Other Pediatrics Providers in PRESCOTT, AZ
| Name | Credential | NPI |
|---|---|---|
| DR. DAVID ANDREW GREEN | M.D. | 1073516589 |
| DR. KATHRYN T BALLARD | M.D. | 1285604504 |
| JAMES M MICK | MD | 1336118926 |
| MATTHEW J HINTON | MD | 1881653558 |
| SHELLY FAYE KLEIN | MD | 1659449411 |
| RONAEL ECKMAN | MD | 1265766984 |
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.