Individual
LISA DEROCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1125 PIERCE ST, SIOUX CITY, IA 51105-1485
(712) 255-8901
(712) 255-9161
Mailing address
1125 PIERCE ST, SIOUX CITY, IA 51105-1485
(712) 255-8901
(712) 255-9161
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
107709
IA
Other
Enumeration date
09/28/2010
Last updated
09/28/2010
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