Individual
ASHLEY BROOKE BAGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2115 WEST PARK DRIVE, LORAIN, OH 44053
(440) 989-4900
(440) 233-9070
Mailing address
522 HARTFORD DRIVE, ELYRIA, OH 44035
(440) 610-9945
(440) 233-9070
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN15110MIV
OH
Other
Enumeration date
02/18/2016
Last updated
08/18/2023
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