MR. Lawrence Jason Jacobs, SFIDC
NPI #1003243338 in Winchester, California
Provider Information
- NPI Number
- 1003243338
- Entity Type
- Individual
- Name
- MR. Lawrence Jason Jacobs, SFIDC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Military Health Care Provider - Independent Duty Corpsman
- Credential
- SFIDC
- Enumeration Date
- Oct 1, 2013
- Last Updated
- Oct 1, 2013
Practice Location
- Address
- 34949 VISCARIA CT
- City
- Winchester
- State
- California
- ZIP Code
- 92596-8968
- Phone
- (260) 740-6714
Specialties & Taxonomy Codes
| Specialty |
|---|
| Military Health Care Provider - Independent Duty Corpsman — Independent Duty Corpsman |
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