Individual
MRS. LISA M ROCCA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
990 BREN ROAD EAST, MINNETONKA, PA 55343
(800) 328-5979
Mailing address
9900 BREN RD E, MINNETONKA, MN 55343-9664
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP012889
PA
Other
Enumeration date
05/22/2013
Last updated
06/29/2020
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