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

Dr. Lisa Maria Jacob, MD

Individual provider Plastic Surgery Physician · NPI 1700077237

Dr. Lisa Maria Jacob, MD is a Plastic Surgery Physician in Wilkes Barre, Pennsylvania. Licensed in New Jersey, Pennsylvania and West Virginia. Registered with an NPI since 2007.

Licensed in
NJ, PA, WV
In the registry since
2007
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

675 Baltimore Dr
Wilkes Barre, PA 18702-3306
Phone: (570) 808-6400
Fax: (570) 808-6338
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Plastic Surgery Physician (primary) Taxonomy 208200000X · Licence MD452576 (PA)
Plastic Surgery Physician Taxonomy 208200000X · Licence 25MA08245300 (NJ)
Plastic Surgery Physician Taxonomy 208200000X · Licence 24109 (WV)

Record details

NPI number1700077237
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 8, 2007
Last updated in NPPESAugust 11, 2020
Certification dateAugust 11, 2020

Other providers in Wilkes Barre