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1518943091
LISA J JACOBSEN
BUFFALO, NY
NPI
1518943091
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207V00000X Obstetrics & Gynecology
(Licence: NY 285489)
Enumeration Date
2005-12-16
Last Update Date
2017-10-11
Business Address
LISA J JACOBSEN MD, MPH
462 GRIDER ST
BUFFALO, NY 14215-3021
Phone number: 716-898-3000
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Mailing Address
LISA J JACOBSEN MD, MPH
908 NIAGARA FALLS BLVD STE 208
NORTH TONAWANDA, NY 14120-2019
Phone number: 716-692-3302
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