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Search › Oklahoma › 363A00000X

Lacey Jacobs, PA-C

NPI 1891066445 · on the registry since 2012

Practice

Address
11601 S. Western Ave
Oklahoma City, OK 73170
Phone
(405) 512-6950
Organisation at this address
Oca 1 Llc
Oklahoma Clinical Associates Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
11

Registry record

Primary taxonomy
363A00000X
363A00000X
Licence states on file
OK
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2012-01-13

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 Oklahoma