DR. LOURDES R JACOBO M.D.
NPI 1861548679
Pediatrics in Prescott, AZ

Q: What is Lourdes Jacobo's NPI number?

The NPI number for Lourdes Jacobo is 1861548679. It was assigned to this individual provider in the NPPES registry on January 26, 2007.

Q: What is Lourdes Jacobo's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Lourdes Jacobo was last updated on August 25, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 26, 2007

2120 CENTERPOINTE WEST DR, PRESCOTT, AZ 86301(928) 778-4581(928) 776-1872 Get Directions Write a Review

NPPES record last updated: August 25, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Lourdes R Jacobo M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. LOURDES R JACOBO M.D. (NPI 1861548679) is an individual pediatrics provider in Prescott, Arizona, licensed in Arizona (40096) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1861548679

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameDR. LOURDES R JACOBOCredential: M.D.

Location Address2120 CENTERPOINTE WEST DRPrescott, AZ 86301-8487

Mailing Address16950 N 49th WayScottsdale, AZ 85254-1082 · (623) 238-4284

Phone(928) 778-4581

Fax(928) 776-1872

Sole ProprietorYes

Enumeration DateJanuary 26, 2007

Last NPPES UpdateAugust 25, 2016

✔ NPI 1861548679 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

Licenses✔ Licensed in AZ · 40096✔ Licensed in NJ · 23974

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

2120 CENTERPOINTE WEST DR, Prescott, AZ 86301

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Other Identifiers 2

Medicaid401708AZ

Other40096AZ · License

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KETURAH LEGLER CPNP

Nurse Practitioner