DR. Loren Henning Jacobsen, MD

NPI #1609937598 in Broken Bow, Nebraska

Provider Information

NPI Number: 1609937598
Entity Type: Individual
Name: DR. Loren Henning Jacobsen, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: MD
Enumeration Date: Dec 13, 2006
Last Updated: Jul 13, 2007

Practice Location

Address: 145 MEMORIAL DR
City: Broken Bow
State: Nebraska
ZIP Code: 68822-1378
Phone: (308) 872-2486

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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