person
Lisa Waite Jacobson, DO
Facial Plastic Surgery Physician in Cadillac, Michigan
NPI 1922073766

Lisa Waite Jacobson is a Facial Plastic Surgery Physician based in Cadillac, MI and is specialized in Facial Plastic Surgery. Lisa Waite Jacobson practices in Cadillac, MI and has the professional credentials of DO. The NPI Number for Lisa Waite Jacobson is 1922073766 and holds a License No. 5101013549 (Michigan).

The current practice location address for Lisa Waite Jacobson is 8872 Professional Dr, Cadillac, MI and can be reached out via phone at 231-779-6260 and via fax at 231-779-6264. You can also correspond with Lisa Waite Jacobson through the mailing address at 8872 PROFESSIONAL DR, CADILLAC, MI - 49601-8481 (mailing address contact number: 231-779-6260).

Location: 8872 Professional Dr, Cadillac, MI, 49601-8481
person
Provider Profile Details
NPI Number
1922073766
Provider Name
Lisa Waite Jacobson
Credential
DO
Provider Entity Type
Individual
Gender
Female
Address
8872 Professional Dr, Cadillac, MI, 49601-8481
Phone Number
231-779-6260
Fax Number
231-779-6264
Provider Enumeration Date
02/22/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4420424 05 MI
institution
Provider Business Practice Location Address Details
Address
8872 Professional Dr
City
State
Zip
49601-8481
Phone Number
231-779-6260
Fax Number
231-779-6264
person
Provider Business Mailing Address Details
Address
8872 Professional Dr
City
State
Zip
49601-8481
Phone Number
231-779-6260
Fax Number
231-779-6264
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Otolaryngology
Speciality
Facial Plastic Surgery
Taxonomy
License No.
5101013549 (Michigan)
Definition
An otolaryngologist who specializes in facial plastic surgery.
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