Search › Pennsylvania › 208200000X
Lisa Jacob, M.D
NPI 1700077237 · on the registry since 2007
Practice
- Address
- 675 Baltimore Drive
Wilkes Barre, PA 18702 - Phone
- (570) 808-6400
- Fax
- (570) 808-6338
- Organisation at this address
- Geisinger Clinc
Geisinger Clinic
Geisinger Wyoming Valley Medical CenterInferred from a shared address, not stated in the registry. - Clinicians at this address
- 68
Registry record
- Primary taxonomy
- 208200000X
208200000X
- Also registered as
- 208200000X
208200000X - Licence states on file
- NJ, WV, PA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-08-11
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Pennsylvania