Jacob, Lisa Maria

Jacob, Lisa Maria is an individual health care provider with primary practice located at 675 Baltimore Drive , Wilkes Barre PA 18702-3306. She recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as her primary health care specialty. Jacob, Lisa Maria can be contacted via phone (570) 808-6400.

Contact Information

Primary practice address
675 Baltimore Drive Wilkes Barre PA 18702-3306
Phone: (570) 808-6400
Fax: (570) 808-6338
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X 25MA08245300 New Jersey
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X 24109 West Virginia
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X MD452576 Pennsylvania

Profile Details

NPI number 1700077237
LBN Legal business name Jacob, Lisa Maria
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 8th, 2007
Last updated Aug 11th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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