Lisa Jacobs
Surgical Oncologist
4940 Eastern Ave
Baltimore
, Maryland 21224-2735
Lisa Jacobs
Surgical Oncologist
4940 Eastern Ave
Baltimore
, Maryland 21224-2735
(443) 287-2778
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About
Features
Specialties
- Surgical Oncologist
Languages spoken
- English
Location
First Address
- Lisa Jacobs
- Po Box 64563
- Baltimore, MD
- Zip : 21264-4563
- Phone : (443) 287-2778
Second Address
- Lisa Jacobs
- 4940 Eastern Ave
- Baltimore, MD
- Zip : 21224-2735
- Phone : (410) 550-0400
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2086X0206X | Surgical Oncologist | D61193 | MD |
National Provider Identifier
| NPI | 1063451714 |
|---|---|
| Provider Name | Lisa Jacobs |
| First Address | Baltimore, MD 21264-4563 |
| Second Address | Baltimore, MD 21224-2735 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 06/06/2006 |
| Last Update Date | 08/02/2013 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 404182800 | (05) | MD |
| H21963 | (02) | MD |
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.