Individual
JANE ELIZABETH LI-CONRAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
26151 EUCLID AVE, EUCLID, OH 44132-3322
(216) 261-7970
(216) 261-6191
Mailing address
P.O. BOX 714328, COLUMBUS, OH 43271-4328
(216) 261-7970
(216) 261-6191
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34-006036
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2073808
—
OH
Enumeration date
08/23/2006
Last updated
01/23/2014
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