LISA ANNE BROCK

MUNCIE, IN
NPI1255422366
Former NameLISA ANNE HARBER
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: IN  71001294A)
Additional Taxonomies363LA2200X Nurse Practitioner, Adult Health
(Licence: IN  71001294A)
Enumeration Date2006-09-27
Last Update Date2017-10-23
Business Address
LISA ANNE BROCK APRN-BC
4301 N WALNUT ST
MUNCIE, IN 47303-1190
Phone number: 765-282-0053
Mailing Address
LISA ANNE BROCK APRN-BC
12201 BLUEGRASS PKWY
LOUISVILLE, KY 40299-2361
Phone number: 502-568-7366