Individual
MRS. JESSICA LAGRO LOSEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
501 W RAILROAD AVE, SYRACUSE, IN 46567-1568
(574) 457-6994
Mailing address
501 W RAILROAD AVE, SYRACUSE, IN 46567-1568
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
02/21/2012
Last updated
02/21/2012
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