-- NISHA LASSI JACOBS -- MD
Individual Provider (NPI-1)
Active
Internal Medicine, Hematology & Oncology
Provider Information
- NPI Number
1134241391- Provider Type
- Individual Provider (NPI-1)
- Credentials
- MD
- Status
- Active
Contact & Location
- Address
- 11850 BLACKFOOT ST NE SUITE 100, COON RAPIDS, MN, 554332598
- Phone
- (763) 712-2100
- Fax
- (763) 712-2190
Specialties & Taxonomies
Internal Medicine, Hematology & Oncology
Primary License: MN #49898
Internal Medicine
License: MN #49898