Whalio Doctors

NPI 1922106350

Susan Lorraine Jacobsen

Practitioner Pulmonary Function Technologist Certified Respiratory Therapist Lake City, FL

Practice location

Address
619 S Marion Ave, Lake City, FL 32025-5808
Phone
(386) 755-3016
Mailing address
7847 SW 44th Ave, Lake Butler, FL 32054-7314

Registered specialties

Pulmonary Function Technologist Certified Respiratory Therapist Primary
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2278P1006X Licence TT0001695 (FL)

Registry record

NPI
1922106350
Entity type
Individual
Sex (as registered)
Female
NPI issued
20 Sep 2006
Record last updated
8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.