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Lawrence M. Jacoby, M.d., Pc
Physician Assistant in Avon, Connecticut
NPI 1942405246

Lawrence M. Jacoby, M.d., Pc is a Physician Assistant based in Avon, CT. Lawrence M. Jacoby, M.d., Pc practices in Avon, CT. The NPI Number for Lawrence M. Jacoby, M.d., Pc is 1942405246 and holds a License No. 016756 (Connecticut).

The current practice location address for Lawrence M. Jacoby, M.d., Pc is 18 W Avon Rd, Avon, CT and can be reached out via phone at 860-673-1667 and via fax at 860-673-1544.

Location: 18 W Avon Rd, Avon, CT, 06001-3583
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1942405246
Provider Name
Lawrence M. Jacoby, M.d., Pc
Credential
Provider Entity Type
Organization
Address
18 W Avon Rd, Avon, CT, 06001-3583
Phone Number
860-673-1667
Fax Number
860-673-1544
Provider Enumeration Date
06/18/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
010016756CT01 01 CT BCBS ANTHEM CONNECTICUT
18000 01 CT CONNECTICARE PA
731541 01 CT PHCS
P1595383 01 CT OXFORD
290000178CT01 01 DE BCBS ANTHEM CT -- PA
44259 01 CT AETNA
701896 01 CT CONNECTICARE DR.
institution
Provider Business Practice Location Address Details
Address
18 W Avon Rd
City
Avon
State
Connecticut
Zip
06001-3583
Phone Number
860-673-1667
Fax Number
860-673-1544
person
Provider Business Mailing Address Details
Address
18 W Avon Rd
City
Avon
State
Connecticut
Zip
06001-3583
Phone Number
860-673-1667
Fax Number
860-673-1544
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
022522 (Connecticut)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
016756 (Connecticut)
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
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