IndividualActive
Laura Jacks, M.D.
NPI 1922063312 · Pediatric Orthopaedic Surgery Physician · Louisville, KY
Provider details
- NPI number
- 1922063312
- Entity type
- Individual
- Primary specialty
- Pediatric Orthopaedic Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- License
- 37525 (KY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
2933 Breckenridge Ln Ste 103
Louisville, KY 40220-1408
Phone: (502) 394-5678
Fax: (502) 394-5600
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 776879
Chicago, IL 60677-6879
Registry dates
- Enumerated
- 2006-04-19
- Last updated
- 2022-09-23
- Certified
- 2022-09-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.