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Individual

ALICIA ROARK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
2624 LEXINGTON AVE, SPRINGFIELD, OH 45505-2620
(937) 328-5300
Mailing address
3650 CRAIG RD, SPRINGFIELD, OH 45502-6320
(937) 328-5300

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN.142707.MEDS-IV
OH

Other

Enumeration date
04/10/2026
Last updated
04/10/2026
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