Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lawrence M. Jacoby, MD, PC

Organization Specialist · NPI 1942405246

Lawrence M. Jacoby, MD, PC is a Specialist in Avon, Connecticut. Licensed in Connecticut. Registered with an NPI since 2007.

Licensed in
CT
In the registry since
2007
Specialties on file
3
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

18 W Avon Rd
Avon, CT 06001-3583
Phone: (860) 673-1667
Fax: (860) 673-1544
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 000178 (CT)
Specialist Taxonomy 174400000X · Licence 016756 (CT)
Specialist Taxonomy 174400000X · Licence 022522 (CT)

Record details

NPI number1942405246
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jodie Jacoby — Office Manager · (860) 673-1667
NPI enumeratedJune 18, 2007
Last updated in NPPESSeptember 11, 2025
Mailing address18 W Avon Rd, Avon, CT 06001-3583

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