Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
LORI FERTIG CONKLIN, OD
Active Sole ProprietorLORI FERTIG CONKLIN, OD is a Optometrist healthcare provider located in SAEGERTOWN, Pennsylvania. NPI 1578529822 is currently active in the NPPES registry. Verify at CMS.
Optometrist · SAEGERTOWN, PA
Registration Details
- NPI Number
- 1578529822
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 25, 2006 (20.161159857563 yrs)
- Last Updated
- Apr 18, 2012
- License
-
OEG001633 (PA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
19219 STATE HWY 198SAEGERTOWN, PA, 164334529Browse PA providers · Browse ZIP 16433
- Phone
- 8147635220
- Fax
- 8147634425
- Primary Specialty
-
Optometrist
152W00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.