Individual
LISA MARIE TROCKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
3600 KOLBE RD STE 223, LORAIN, OH 44053-1652
(440) 222-4661
(440) 222-4662
Mailing address
3600 KOLBE RD STE 223, LORAIN, OH 44053-1652
(440) 222-4661
(440) 222-4662
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN.CNP.11836
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3090588
—
OH
Enumeration date
10/15/2010
Last updated
01/22/2021
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