Lisa Jacobson D.O., P.C.

LBN: Lisa Jacobson D.O., P.C.
Lisa Jacobson D.O., P.C. is an health care organization with primary practice located at 8872 Professional Dr Suite A, Cadillac MI 49601-8481. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery within the Head & Neck, which is considered as the primary health care specialty. Lisa Jacobson D.O., P.C. can be contacted via phone (231) 779-6260, or through Jacobson, Lisa via phone (231) 779-6260.

Contact Information

Primary practice address
8872 Professional Dr Suite A Cadillac MI 49601-8481
Phone: (231) 779-6260
Fax: (231) 779-6264
Website:
Map and Directions
Authorized official contact:
Name: Jacobson, Lisa Doctor of Osteopathy (DO)
Phone: (231) 779-6260

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery within the Head & Neck 207YX0007X 5101013549 Michigan

Profile Details

NPI number 1831333715
LBN Legal business name Lisa Jacobson D.O., P.C.
DBA Doing business as
Authorized official Jacobson, Lisa Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 23rd, 2009
Last updated Jul 11th, 2019 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831333715 NPPES
Michigan MEDICAID 4420424

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