IndividualActive
Susan Jacobsen
NPI 1922106350 · Pulmonary Function Technologist Certified Respiratory Therapist · Lake City, FL
Provider details
- NPI number
- 1922106350
- Entity type
- Individual
- Primary specialty
- Pulmonary Function Technologist Certified Respiratory TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- TT0001695 (FL)
Specialties & taxonomies
- Pulmonary Function Technologist Certified Respiratory TherapistPrimary2278P1006XLicense TT0001695 (FL)
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
619 S Marion Ave
Lake City, FL 32025-5808
Phone: (386) 755-3016
Approximate (ZIP-level) locationGet directions
Mailing address
7847 Sw 44th Ave
Lake Butler, FL 32054-7314
Registry dates
- Enumerated
- 2006-09-20
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.