LIANE JACOBSON (NPI# 1013424027) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013424027 |
| Entity Type | Individual |
| Full Name | LIANE JACOBSON |
| Practice Address |
1515 Laurie Tatum Road Adult Care Clinic 2 Lawton OK 73507 |
| Practice Telephone | 5803545000 |
| Mailing Telephone | 5803545000 |
| Enumeration Date | 2017-12-29 |
| Last Update Date | 2017-12-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP2201X |
Registered Nurse Specialization: Ambulatory Care |
645341 | TX | Nursing Service Providers |
| Street Address |
1515 LAURIE TATUM ROAD ADULT CARE CLINIC 2 |
| City | LAWTON |
| State | OK |
| Zip Code | 73507 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720619935 | Kori Wren Wiegmann | Registered Nurse | 1515 Nw Lawrie Tatum Road, Lawton, OK 73507 | 2020-01-28 |
| 1649727041 | Rachel Ayala | Dietitian, Registered | 2811 Nw Hilltop Dr, Lawton, OK 73507 | 2016-09-02 |
| 1811370471 | William S, Davies, M.d., Inc. | Psychiatric Residential Treatment Facility | 1302 N, W, Lake Ave, Lawton, OK 73507 | 2015-07-01 |
| 1538554894 | Ashlee A Haugen-lewis | Behavioral Analyst | 4121 W Gore, Lawton, OK 73507 | 2015-04-03 |
| 1003188970 | Jenny Rae Mohon | Registered Nurse | 1515 North East Lawrie Tatum Road, Usphs Lawton Indian Hospital, Lawton, OK 73507 | 2012-02-07 |
| 1558548578 | Dawn M Griffith | Registered Nurse | 1515 Lawrie Tatum Dr., Lawton, OK 73507 | 2008-01-22 |
| 1275605172 | Judy Weiss | Pharmacist | 524 Lawrie Tatum Rd, Lawton, OK 73507 | 2006-11-15 |
| 1790895894 | William Spalding Davies | Psychiatry & Neurology | 1302 Lake Ave, Lawton, OK 73507 | 2006-08-30 |
| 1275646374 | Phillip Lynn Aday | Dentist | 1116 Nw Arlington, Lawton, OK 73507 | 2006-08-16 |
| 1326066291 | Jackie Lee Mckinnis | Dentist | 2101 Nw Ferris Ave, Lawton, OK 73507 | 2006-07-18 |
| Find all providers in zip 73507 | ||||
| Taxonomy Code | 163WP2201X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Ambulatory Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992363410 | Stephanie Ann Oberst | Registered Nurse | 1515 Ne Lawrie Tatum Rd, Lawton, OK 73507-3002 | 2019-05-30 |
| 1821500638 | Jessica Lynn Vaughan | Registered Nurse | 1515 Ne Lawrie Tatum Rd, Lawton, OK 73507-3002 | 2017-11-02 |
| 1801339270 | Mary Elizabeth Vela | Registered Nurse | 1515 Ne Lawrie Tatum Rd, Lawton, OK 73507-3002 | 2016-12-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780794701 | Joni Lynn Javellas | Registered Nurse | 213 Meadow Creek Ln, Dewey, OK 74029-3040 | 2006-08-30 |
| 1912516154 | Bradah Littlefield | Registered Nurse | 31870 E. Hwy 51, Coweta, OK 74426 | 2020-07-23 |
| 1639652092 | Lorrie Ann Pinkston | Registered Nurse | 550 S Peoria Ave, Tulsa, OK 74120-3820 | 2018-09-12 |
| 1235504325 | Lisa Mays | Registered Nurse | 1201 Heritage Cir, Pawnee, OK 74058-3744 | 2015-12-01 |
| 1659790434 | Molly Edith Danforth | Registered Nurse | 10321 N 2274 Rd, Clinton, OK 73601-7521 | 2014-04-09 |
| 1023352721 | Mary E Zientek | Registered Nurse | 781 Grand Casino Blvd, Citizen Potawatomi Nation Health Services, Shawnee, OK 74804-1005 | 2012-11-19 |
| 1326328667 | Peggy Ruth Immohotichey | Registered Nurse | 1631 E Us Highway 66, El Reno, OK 73036-5769 | 2011-08-18 |
| 1255573275 | Courtney Joan Frame | Registered Nurse | 4913 W Reno Ave, Oklahoma City, OK 73127-6339 | 2009-04-06 |
| 1760588982 | Janet Kaye Bryce | Registered Nurse | 2307 S Gordon Cooper Dr, Shawnee, OK 74801-9007 | 2006-09-15 |
Please comment or provide details below to improve the information on LIANE JACOBSON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.