Lisa Waite Jacobson, D.O.

NPI #1922073766 in Cadillac, Michigan

Provider Information

NPI Number
1922073766
Entity Type
Individual
Name
Lisa Waite Jacobson, D.O.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Otolaryngology - Facial Plastic Surgery
Credential
D.O.
Enumeration Date
Feb 22, 2006
Last Updated
Oct 24, 2007

Practice Location

Address
8872 PROFESSIONAL DR
ZIP Code
49601-8481
Phone
(231) 779-6260

Specialties & Taxonomy Codes

Specialty
Otolaryngology - Facial Plastic SurgeryFacial Plastic Surgery

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