Lawrence M. Jacoby, M.D., PC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

000178 Issued in CT

Legal business name

LAWRENCE M. JACOBY, M.D., PC

Practice address

18 W Avon Rd
Avon, CT 06001-3583

Phone

(860) 673-1667

Fax

(860) 673-1544

NPI assigned

Jun 18, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Jodie Jacoby

Title

Office Manager

Phone

(860) 673-1667

Specialties & licenses 3

Addresses

Other identifiers 7

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1182124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1942405246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 W AVON RD",
            "city": "AVON",
            "state": "CT",
            "postal_code": "060013583",
            "telephone_number": "860-673-1667",
            "fax_number": "860-673-1544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 W AVON RD",
            "city": "AVON",
            "state": "CT",
            "postal_code": "060013583",
            "telephone_number": "860-673-1667",
            "fax_number": "860-673-1544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAWRENCE M. JACOBY, M.D., PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-18",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "JACOBY",
        "authorized_official_first_name": "JODIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "860-673-1667",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "CT",
            "license": "016756",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "CT",
            "license": "022522",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": "CT",
            "license": "000178",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS ANTHEM CONNECTICUT",
            "identifier": "010016756CT01",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONNECTICARE PA",
            "identifier": "18000",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHCS",
            "identifier": "731541",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P1595383",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS ANTHEM CT -- PA",
            "identifier": "290000178CT01",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "44259",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONNECTICARE DR.",
            "identifier": "701896",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bernardine Lapaan
• Jennifer M Lapenta, LCSW
• Kathryn Rae Lapierre, DNP
• Amelia Laughlin, APRN
• Danielle Lauzze, PA-C
• Kelley Lynne Lawton, P.A.-C
• Mary E. Leahy, APRN
• Karissa Eve Lederman, LMSW
• Meagan A Leduc, PSY.D. CLINICAL PSYC
• Lee Behavioral Health LLC

• Physician Assistant in Avon, CT
• Providers in Avon, CT by specialty
• Physician Assistant in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.