IndividualActive
Liane Jacobson
NPI 1013424027 · Ambulatory Care Registered Nurse · Lawton, OK
Provider details
- NPI number
- 1013424027
- Entity type
- Individual
- Primary specialty
- Ambulatory Care Registered NurseNursing Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 645341 (TX)
Specialties & taxonomies
Nursing Service Providers
Practice location
1515 Laurie Tatum Road
Adult Care Clinic 2
Lawton, OK 73507
Phone: (580) 354-5000
Approximate (ZIP-level) locationGet directions
Mailing address
1515 Laurie Tatum Road
Lawton, OK 73507
Registry dates
- Enumerated
- 2017-12-29
- Last updated
- 2017-12-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.