Individual
LISA STOKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4623 WESLEY AVE, SUITE P, CINCINNATI, OH 45212-2246
(513) 841-0777
(513) 841-0877
Mailing address
PO BOX 1239, TROY, MI 48099-1239
(248) 824-6600
(248) 324-1477
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
COA.13187-NP
OH
363LF0000X
Family Nurse Practitioner
COA.13187-NP
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0100738
—
OH
Enumeration date
03/22/2012
Last updated
02/14/2018
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