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Lalitha E Jacob, MD

Psychiatry & Neurology, Neurology in Pinellas Park, FL. Individual provider (NPI-1).

NPI number1144338724
StatusActive
Last updated in NPPESJul 18, 2011

Details

NPI
1144338724
Entity type
Individual (NPI-1)
Name
Lalitha E Jacob
Credential
MD
Sex
Female
Sole proprietor
Yes
Enumeration date
Aug 25, 2006
Last updated
Jul 18, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2084N0400X Psychiatry & Neurology, NeurologyME62238FLYes

Practice location

6229 66th St N
Pinellas Park, FL 33781-5025

Phone 727-528-1888 · Fax 727-528-0586

Mailing address

6229 66th St N
Pinellas Park, FL 33781-5025

Phone 727-528-1888 · Fax 727-528-0586

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