Lukose Jacob's National Provider Identifier (NPI) Details
Lukose Jacob, LCSW
NPI: 1912046640
Enumeration Date: 2007-02-06
Last updated: 2024-10-02
Sole Proprietor: NO
Status: active
Postal Address: 7765 S COUNTY ROAD 231, LAKE BUTLER, FL
Phone: 386-496-6000
Primary Practice Address: 7108 SW 80TH TER DEPT OF, GAINESVILLE, FL
Practice's phone: 352-327-0293