Individual
DR. JESSICA A CONKLE-LAGROUX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
5700 DARROW RD, HUDSON, OH 44236-5026
(330) 656-5911
Mailing address
470 OLD COUNTRY LN, NORTH LIMA, OH 44452-8542
(330) 831-0752
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
51237
OH
Other
Enumeration date
10/25/2008
Last updated
10/05/2012
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