Individual provider · Type 1 NPI

Jacob Lackow, M.A.

Student in an Organized Health Care Education/Training Program · New York, NY

NPI number 1295188159 Active

Practice location

101 E 56th St
New York, NY 10022-2661

Call (646) 625-4300 Map

Other practice locations

  • 1339 20th St, Santa Monica, CA 90404-2033 · (310) 829-5511

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1295188159

Jacob Lackow, M.A.'s National Provider Identifier is 1295188159, issued on Jul 15, 2016. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in New York, NY. The record was last updated on May 22, 2019.