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

Lisa Waite Jacobson, DO

Individual provider Facial Plastic Surgery Physician · NPI 1922073766

Lisa Waite Jacobson, DO is an Otolaryngology in Cadillac, Michigan. Qualified in 1997, 29 years ago. Practices with Lisa Jacobson DO, PC, a 2-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
29
Licensed in
MI
In the registry since
2006
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

8872 Professional Dr
Cadillac, MI 49601-8481
Phone: (231) 779-6260
Fax: (231) 779-6264
Show map & directions

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

Specialties & licences

Facial Plastic Surgery Physician (primary) Taxonomy 207YS0123X · Licence 5101013549 (MI)

Record details

NPI number1922073766
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorYes
NPI enumeratedFebruary 22, 2006
Last updated in NPPESOctober 24, 2007
Mailing address8872 Professional Dr, Cadillac, MI 49601-8481

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOTOLARYNGOLOGY
Medical schoolOTHER
Graduated 1997 (29 years in practice)
Group practice Lisa Jacobson D.O., P.C. — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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