Jacobsen, Lavonne

Jacobsen, Lavonne is an sole proprietor health care provider with primary practice located at 3208 Amberwood Ct , Edmond OK 73003-2133. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Jacobsen, Lavonne can be contacted via phone (405) 509-4661.

Contact Information

Primary practice address
3208 Amberwood Ct Edmond OK 73003-2133
Phone: (405) 509-4661
Fax: (800) 865-6885
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X NMW621 California

Profile Details

NPI number 1922265800
LBN Legal business name Jacobsen, Lavonne
Credentials APRN, CNM
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 19th, 2008
Last updated Jul 8th, 2013 - about 12 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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Identifiers

StateTypeNumberIssuer
All States NPI 1922265800 NPPES
California Other NMW006210 MEDI-CAL
California Other ZZZ37640Z MEDI-CAL
California Other R 0101207 MEDI-CAL

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