Laura K Jacks
Orthopaedic Surgeon Pediatric Orthopaedic Surgeon
3999 Dutchmans Ln Ste 6f
Louisville
, Kentucky 40207-4729
Laura K Jacks
Orthopaedic Surgeon Pediatric Orthopaedic Surgeon
3999 Dutchmans Ln Ste 6f
Louisville
, Kentucky 40207-4729
(502) 272-5116
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About
Features
Specialties
- Orthopaedic Surgeon
- Pediatric Orthopaedic Surgeon
Languages spoken
- English
Location
First Address
- Laura K Jacks
- Po Box 766351
- Chicago, IL
- Zip : 60677-6351
- Fax : (502) 272-5116
- Phone : (502) 588-9490
Second Address
- Laura K Jacks
- 3999 Dutchmans Ln Ste 6f
- Louisville, KY
- Zip : 40207-4729
- Fax : (502) 394-5600
- Phone : (502) 394-5678
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgeon | 37525 | KY |
| Y | 207XP3100X | Pediatric Orthopaedic Surgeon | 37525 | KY |
National Provider Identifier
| NPI | 1922063312 |
|---|---|
| Provider Name | Laura K Jacks |
| First Address | Chicago, IL 60677-6351 |
| Second Address | Louisville, KY 40207-4729 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/04/2006 |
| Last Update Date | 01/06/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 200397730 | (05) | IN |
| 64052772 | (05) | KY |
| H11517 | (02) | KS |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.