Individual provider · NPI-1

Dr. Lauren Brooke Jacoby, D.O.

Hospitalist · Lake Charles, LA

NPI number1184058109
StatusActive
Last updated in NPPESOct 20, 2016

Details

NPI
1184058109
Entity type
Individual (NPI-1)
Name
Dr. Lauren Brooke Jacoby
Credential
D.O.
Sex
Female
Sole proprietor
Yes
Enumeration date
Aug 27, 2013
Last updated
Oct 20, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208M00000X Hospitalist303942LAYes

Practice location

524 Dr Michael Debakey Dr
Lake Charles, LA 70601-5725

Phone 337-436-2511

Mailing address

524 Dr Michael Debakey Dr
Lake Charles, LA 70601-5725

Phone 337-436-2511

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