DR. Lisa Maria Jacob, M.D.

NPI #1700077237 in Wilkes Barre, Pennsylvania

Provider Information

NPI Number: 1700077237
Entity Type: Individual
Name: DR. Lisa Maria Jacob, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Plastic Surgery
Credential: M.D.
Enumeration Date: Aug 8, 2007
Last Updated: Aug 11, 2020

Practice Location

Address: 675 BALTIMORE DRIVE
City: Wilkes Barre
State: Pennsylvania
ZIP Code: 18702-3306
Phone: (570) 808-6400

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Plastic Surgery	208200000X	Primary

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