| Laura Lee Jacobson, MD | |
|
1836 South Ave, La Crosse, WI 54601-5429 | |
| (608) 782-7300 | |
| Not Available |
| Full Name | Laura Lee Jacobson |
|---|---|
| Gender | Female |
| Speciality | Family Medicine |
| Location | 1836 South Ave, La Crosse, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083148472 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 2020-00441 (North Carolina) | Secondary |
| 207Q00000X | Family Medicine | 70155 (Wisconsin) | Primary |
| Entity Name | Gundersen Clinic Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851343115 PECOS PAC ID: 9638082779 Enrollment ID: O20031106000139 |
| Entity Name | Gundersen Lutheran Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225873458 PECOS PAC ID: 2163331414 Enrollment ID: O20130619000254 |
| Mailing Address | Practice Location Address |
|---|---|
| Laura Lee Jacobson, MD 1836 South Ave, La Crosse, WI 54601-5429 Ph: (608) 782-7300 | Laura Lee Jacobson, MD 1836 South Ave, La Crosse, WI 54601-5429 Ph: (608) 782-7300 |
Dr. Ian G Latham, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300 | |
Kelly Ann Carothers, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300 | |
Gabriel T. Berendes, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 800 West Ave S, La Crosse, WI 54601 Phone: 608-785-0940 | |
Kristine L Johnson, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300 | |
Dr. Deborah Ann Hatanpa, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300 | |
Kimberly J. Hardy, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1836 South Ave, Gundersen Health System, La Crosse, WI 54601 Phone: 608-782-7300 | |
Dr. Richard Antonio Cayasso, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300 |