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Lawrence M. Jacoby, M.D., PC

NPI 1942405246ActiveOrganization· Physician Assistant· Avon, CT

Physician Assistant in Avon, Connecticut, registered in NPPES in June 2007. The authorized official on file is Jodie Jacoby, Office Manager.

Overview

NPI1942405246
StatusActive
Entity typeOrganization
NPI issuedJun 18, 2007
Last updated in NPPESSep 11, 2025

Specialties and licenses

TaxonomyCodeLicenseState
Physician Assistant Primary363A00000X000178CT
Specialist174400000X016756CT
Specialist174400000X022522CT

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Physician Assistant providers in Avon

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