Individual
LORI FERTIG CONKLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
19219 STATE HWY 198, SAEGERTOWN, PA 16433-4529
(814) 763-5220
(814) 763-4425
Mailing address
19219 STATE HWY 198, SAEGERTOWN, PA 16433-4529
(814) 763-5220
(814) 763-4425
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG001633
PA
Other
Enumeration date
04/25/2006
Last updated
04/18/2012
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