Individual provider · Type 1 NPI

Lisa Maria Jacob, MD

Plastic Surgery Physician · Wilkes Barre, PA

NPI number 1700077237 Active

Practice location

675 Baltimore Drive
Wilkes Barre, PA 18702-3306

Fax (570) 808-6338

Mailing address

100 N Academy Ave
Danville, PA 17822-4903

Specialties and licenses

TaxonomyCodeLicense
Plastic Surgery Physician 208200000X25MA08245300 (NJ)
Plastic Surgery Physician 208200000X24109 (WV)
Plastic Surgery Physician Primary 208200000XMD452576 (PA)

Plastic Surgery Physician: A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to b…

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About NPI 1700077237

Lisa Maria Jacob, MD's National Provider Identifier is 1700077237, issued on Aug 8, 2007. The primary taxonomy on file is Plastic Surgery Physician (208200000X), and the practice location is in Wilkes Barre, PA. The record was last updated on Aug 11, 2020.