National Provider Identifier
Lisa J Jacobsen, MD, MPH
Lisa J Jacobsen, MD, MPH is listed in the NPPES registry with a primary specialty of Obstetrics & Gynecology Physician in Buffalo, NY and a listed phone number of (716) 898-3000.
Profile Overview
- NPI
- 1518943091
- Provider Type
- Individual
- Primary Specialty
- Obstetrics & Gynecology Physician
- Enumeration Date
- December 16, 2005
- Last Updated
- October 11, 2017
Practice Location
- 462 Grider St
- Buffalo, NY 14215-3021
Phone: (716) 898-3000
Mailing Address
- 908 Niagara Falls Blvd Ste 208
- North Tonawanda, NY 14120-2019
Specialties
- Obstetrics & Gynecology Physician (207V00000X)
Full Record
- NPI
- 1518943091
- Entity Type
- Individual
- Last Name
- Jacobsen
- First Name
- Lisa
- Middle Name
- J
- Credential
- MD, MPH
- Mailing Street Address
- 908 Niagara Falls Blvd Ste 208
- Mailing City
- North Tonawanda
- Mailing State
- NY
- Mailing ZIP Code
- 14120-2019
- Mailing Country
- US
- Mailing Phone
- (716) 692-3302
- Mailing Fax
- (716) 692-4342
- Practice Street Address
- 462 Grider St
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14215-3021
- Practice Country
- US
- Practice Phone
- (716) 898-3000
- Enumeration Date
- December 16, 2005
- Last Updated
- October 11, 2017
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Obstetrics & Gynecology Physician (207V00000X)
- Other Identifiers
- 04497090 (NY), 3141446 (MA)