Lisa Bockrath

NPI #1992537138 in Ottawa, Ohio

Provider Information

NPI Number: 1992537138
Entity Type: Individual
Name: Lisa Bockrath
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Homemaker
Enumeration Date: Aug 16, 2024
Last Updated: Aug 16, 2024

Practice Location

Address: 1570 N PERRY ST LOT 17A
City: Ottawa
State: Ohio
ZIP Code: 45875-1131
Phone: (419) 615-0834

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Homemaker	376J00000X	Primary

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