Lawrence M. Jacoby, M.D., Pc
LBN: Lawrence M. Jacoby, M.D., Pc
Lawrence M. Jacoby, M.D., Pc is an health care organization with primary practice located at 18 W Avon Rd , Avon CT 06001-3583. The organization recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Other Service Providers / Specialist is the primary health care specialty.
Lawrence M. Jacoby, M.D., Pc can be contacted via phone (860) 673-1667, or through Jacoby, Jodie via phone (860) 673-1667.
Contact Information
Primary practice address
18 W Avon Rd
Avon CT 06001-3583
Phone: (860) 673-1667
Fax: (860) 673-1544
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 016756 | Connecticut |
| Other Service Providers / Specialist | 174400000X | 022522 | Connecticut |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 000178 | Connecticut |
Profile Details
| NPI number | 1942405246 |
|---|---|
| LBN Legal business name | Lawrence M. Jacoby, M.D., Pc |
| DBA Doing business as | |
| Authorized official | Jacoby, Jodie |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 18th, 2007 |
| Last updated | Aug 22nd, 2020 - about 5 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1942405246 | NPPES |
| Connecticut | Other | 010016756CT01 | BCBS ANTHEM CONNECTICUT |
| Connecticut | Other | 18000 | BCBS ANTHEM CONNECTICUT |
| Connecticut | Other | 731541 | BCBS ANTHEM CONNECTICUT |
| Connecticut | Other | P1595383 | BCBS ANTHEM CONNECTICUT |
| Connecticut | Other | 290000178CT01 | BCBS ANTHEM CONNECTICUT |
| Connecticut | Other | 44259 | BCBS ANTHEM CONNECTICUT |
| Connecticut | Other | 701896 | BCBS ANTHEM CONNECTICUT |
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