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Individual

LERICA E-L ROCK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
830 S MAIN ST, ORRVILLE, OH 44667-2291
(330) 684-2015
Mailing address
830 S MAIN ST, ORRVILLE, OH 44667-2291
(330) 684-2015

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0027072
OH

Other

Enumeration date
08/30/2020
Last updated
09/04/2020
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