Lacoss, Jennifer Joy

Lacoss, Jennifer Joy is an individual health care provider with primary practice located at 4502 Medical Dr , San Antonio TX 78229-4402. She recently has 4 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine. Allopathic & Osteopathic Physicians / Geriatric Medicine is her primary health care specialty. Lacoss, Jennifer Joy can be contacted via phone (210) 358-4000.

Contact Information

Primary practice address
4502 Medical Dr San Antonio TX 78229-4402
Phone: (210) 358-4000
Fax: (210) 949-3060
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 29079 Oklahoma
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X Q8278 Texas
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207RH0002X Q8278 Texas
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X Q8278 Texas

Profile Details

NPI number 1851657704
LBN Legal business name Lacoss, Jennifer Joy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 4th, 2012
Last updated Aug 2nd, 2016 - about 9 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 1851657704 NPPES
Texas MEDICAID 358925101
Texas Other 358925102

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