Organization · Type 2 NPI

Star City Cosmetic Surgery LLC

Facial Plastic Surgery Physician · Lincoln, NE

NPI number 1669138905 Active

Practice location

1630 S 70th St Ste 202
Lincoln, NE 68506-1500

Fax (531) 254-5065

Specialties and licenses

Taxonomy	Code	License
Facial Plastic Surgery Physician Primary	207YS0123X	None listed
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician	2082S0099X	None listed
Medical Specialty Clinic/Center	261QM2500X	None listed

Facial Plastic Surgery Physician: An otolaryngologist who specializes in facial plastic surgery.

Another provider at this address

Jessica P. Jacobson, DOOtolaryngology/Facial Plastic Surgery Physician Lincoln, NE NPI 1578959847

NPI record

NPI: 1669138905
Entity type: Organization (Type 2)
Issued: Nov 10, 2021
Last updated: Feb 10, 2022
Status: Active

Other names

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Jacobson Cosmetic Surgery · doing business as
Jacobson Cosmetic Surgery · doing business as

Authorized official

Dr. Jessica Paige Jacobson, DO
Physician/owner
(402) 890-6249

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About NPI 1669138905

Star City Cosmetic Surgery LLC's National Provider Identifier is 1669138905, issued on Nov 10, 2021. The primary taxonomy on file is Facial Plastic Surgery Physician (207YS0123X), and the practice location is in Lincoln, NE. The record was last updated on Feb 10, 2022.