Individual provider · Type 1 NPI
Loni Jakubowski, RPAC
Medical Physician Assistant · Salt Lake City, UT
NPI number
1215112982
Active
Practice location
2000 Circle Of Hope Dr, Rm 3360
Salt Lake City, UT 84112-5550
Fax (801) 585-0101
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 012024 (NY) |
| Medical Physician Assistant | 363AM0700X | 7892402 (UT) |
Medical Physician Assistant: Definition to come...
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About NPI 1215112982
Loni Jakubowski, RPAC's National Provider Identifier is 1215112982, issued on Dec 31, 2007. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Salt Lake City, UT. The record was last updated on Apr 8, 2011.