Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. SUSAN LORRAINE JACOBSEN
ActiveMS. SUSAN LORRAINE JACOBSEN is a 2278P1006X healthcare provider located in LAKE CITY, Florida. NPI 1922106350 is currently active in the NPPES registry. Verify at CMS.
2278P1006X · LAKE CITY, FL
Registration Details
- NPI Number
- 1922106350
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 20, 2006 (19.929381784256 yrs)
- Last Updated
- Jul 8, 2007
- License
-
TT0001695 (FL)
Practice Information
- Address
-
619 S MARION AVELAKE CITY, FL, 320255808Browse FL providers · Browse ZIP 32025
- Phone
- 3867553016
- Primary Specialty
-
2278P1006X
2278P1006X
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.