Provider Demographics
NPI:1922393669
Name:JACOBBE, DANIELLE LIPOFF (DO)
Entity Type:Individual
Prefix:DR
First Name:DANIELLE
Middle Name:LIPOFF
Last Name:JACOBBE
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 911230
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75391-0231
Mailing Address - Country:US
Mailing Address - Phone:729-978-0009
Mailing Address - Fax:972-234-0813
Practice Address - Street 1:3555 W WHEATLAND RD
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75237-3461
Practice Address - Country:US
Practice Address - Phone:972-709-2580
Practice Address - Fax:972-298-6485
Is Sole Proprietor?:No
Enumeration Date:2011-06-10
Last Update Date:2023-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2718042086X0206X
TXT24262086X0206X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086X0206XAllopathic & Osteopathic PhysiciansSurgerySurgical Oncology