Laurie Jacobson
MOHS-Micrographic Surgeon
21600 Highway 99 Ste 280
Edmonds
, Washington 98026-8012
Laurie Jacobson
MOHS-Micrographic Surgeon
21600 Highway 99 Ste 280
Edmonds
, Washington 98026-8012
(425) 774-2616
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About
Features
Specialties
- MOHS-Micrographic Surgeon
Languages spoken
- English
Location
First Address
- Laurie Jacobson
- 21600 Highway 99 Ste 280
- Edmonds, WA
- Zip : 98026-8012
- Phone : (425) 774-2616
Second Address
- Laurie Jacobson
- 21600 Highway 99 Ste 280
- Edmonds, WA
- Zip : 98026-8012
- Phone : (425) 774-2616
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207ND0101X | MOHS-Micrographic Surgeon | MD00044247 | WA |
National Provider Identifier
| NPI | 1043235492 |
|---|---|
| Provider Name | Laurie Jacobson |
| First Address | Edmonds, WA 98026-8012 |
| Second Address | Edmonds, WA 98026-8012 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/07/2006 |
| Last Update Date | 28/04/2008 |
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.