Jaacks, Lisa M

Jaacks, Lisa M is an individual health care provider with primary practice located at 8333 N Davis Hwy Fl 7 , Pensacola FL 32514-6050. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Jaacks, Lisa M can be contacted via phone (850) 969-2038.

Contact Information

Primary practice address
8333 N Davis Hwy Fl 7 Pensacola FL 32514-6050
Phone: (850) 969-2038
Fax: (850) 969-2037
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 34977 Arizona
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 156775 Florida

Profile Details

NPI number 1295785913
LBN Legal business name Jaacks, Lisa M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 2006
Last updated Aug 11th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295785913 NPPES
Arizona Other 34977 LICENSE

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