Lisa Bockover

NPI #1104693167 in Mount Vernon, Ohio

Provider Information

NPI Number: 1104693167
Entity Type: Individual
Name: Lisa Bockover
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Homemaker
Enumeration Date: Dec 8, 2023
Last Updated: Dec 8, 2023

Practice Location

Address: 17100 PROPER RD
City: Mount Vernon
State: Ohio
ZIP Code: 43050-9776
Phone: (740) 501-8267

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Private Vehicle	347C00000X
Technician - Personal Care Attendant — Personal Care Attendant	3747P1801X
Homemaker	376J00000X	Primary

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