NPI 1922106350
Susan Lorraine Jacobsen
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
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.