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

Individual provider Independent Duty Corpsman · NPI 1003243338

Mr. Lawrence Jason Jacobs, SFIDC is an Independent Duty Corpsman in Winchester, California. Registered with an NPI since 2013.

In the registry since
2013
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Practice location Address checks out

34949 Viscaria Ct
Winchester, CA 92596-8968
Phone: (260) 740-6714
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Independent Duty Corpsman (primary) Taxonomy 1710I1002X

Record details

NPI number1003243338
Entity typeIndividual (Type 1)
GenderMale
Credentials SFIDC
Sole proprietorNo
NPI enumeratedOctober 1, 2013
Last updated in NPPESOctober 1, 2013