Lisa Jaeckle

NPI #1003356072 in Jamestown, New York

Provider Information

NPI Number
1003356072
Entity Type
Individual
Name
Lisa Jaeckle
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Licensed Practical Nurse
Enumeration Date
Feb 24, 2017
Last Updated
Feb 24, 2017

Practice Location

Address
220 FLUVANNA AVE
ZIP Code
14701-2052
Phone
(716) 487-1131

Specialties & Taxonomy Codes

Specialty
Licensed Practical Nurse

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