Individual
MS. LORI L HOCKENBERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
5734 COVENTRY LANE, FORT WAYNE, IN 46804-7141
(260) 436-7875
(260) 432-9812
Mailing address
121 W HIGH ST, 5TH FLOOR, LIMA, OH 45801-4340
(419) 998-4573
(419) 998-4586
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
28100297
IN
367500000X
Certified Registered Nurse Anesthetist
RN226280
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000209221
ANTHEM BC/BS
OH
05
—
2191686
—
OH
01
—
34195975700
WORKMENS COMPENSATION
OH
01
—
3419597570004
MEDICAL MUTUAL OF OHIO
OH
01
—
430065384
MEDICARE RAILROAD
OH
Enumeration date
09/01/2005
Last updated
02/04/2016
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