Most Relevant Information
Provider Data
| NPI Number: | 1003180985 |
| Provider Name: | JENNIFER ANN LAGOE LPN |
| Entity Type: | Individual |
| Taxonomy Code: | 164W00000X |
| Specialty: | Licensed Practical Nurse |
| License Number: | 247107-1 |
Most Important Dates
| Enumeration Date: | 02/24/2012 |
| Last Updated: | 02/24/2012 |
Provider Practice Location
1295 COUNTY ROUTE 53
OSWEGO
NY
131266126
Practice Location Phone/Fax
| Phone: | 3153424965 |
| Fax: |
Provider Mailing Location
1295 COUNTY ROUTE 53
OSWEGO
NY
131266126
Provider Mailing Phone/Fax
| Phone: | 3153424965 |
| Fax: |