Individual provider · Type 1 NPI

Lauren Taylor Jacobs, PA

Surgical Physician Assistant · New York, NY

NPI number 1508364423 Active

Practice location

100 E 77th St
New York, NY 10075-1850

Mailing address

72 Dale Ave
Staten Island, NY 10306-1919

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XNone listed

Surgical Physician Assistant: Definition to come...

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About NPI 1508364423

Lauren Taylor Jacobs, PA's National Provider Identifier is 1508364423, issued on Jan 25, 2018. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in New York, NY. The record was last updated on Aug 16, 2023.