National Provider Identifier

John R Sagajllo, LPN

John R Sagajllo, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Rochester, NY and a listed phone number of (585) 978-6179.

NPI 1073179354Rochester, NYLicensed Practical Nurse

Profile Overview

NPI
1073179354
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
May 13, 2019
Last Updated
May 13, 2019

Practice Location

  • 14 Clintwood Dr # D
  • Rochester, NY 14620-3539

Phone: (585) 978-6179

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1073179354
Entity Type
Individual
Last Name
Sagajllo
First Name
John
Middle Name
R
Credential
LPN
Mailing Street Address
14 Clintwood Dr # D
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14620-3539
Mailing Country
US
Mailing Phone
(585) 978-6179
Practice Street Address
14 Clintwood Dr # D
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14620-3539
Practice Country
US
Practice Phone
(585) 978-6179
Enumeration Date
May 13, 2019
Last Updated
May 13, 2019
Sex
Male
Sole Proprietor
Yes
Taxonomies
Licensed Practical Nurse (164W00000X)