Individual
LISA KAYE GOECKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2381 WYSONG RD, EATON, OH 45320-9708
(937) 409-0378
Mailing address
2381 WYSONG RD, EATON, OH 45320-9708
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN.CNP.0032163
OH
Other
Enumeration date
09/29/2022
Last updated
01/13/2025
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