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NPI Code Detail

MEDICARE: MS. LORI L HOCKENBERRY CRNA

MEDICARE: MS. LORI L HOCKENBERRY CRNA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1367500000XCertified Registered Nurse AnesthetistRN226280OH
2367500000XCertified Registered Nurse Anesthetist28100297IN

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
5430065384OTHEROHMEDICARE RAILROAD

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1000000209221OTHEROHANTHEM BC/BS
234195975700OTHEROHWORKMENS COMPENSATION
33419597570004OTHEROHMEDICAL MUTUAL OF OHIO
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1407840721
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. LORI L HOCKENBERRY CRNA
Provider Business Mailing Address
First Line : 121 W HIGH ST
Second Line : 5TH FLOOR
City : LIMA
State : OH
Zip : 45801-4340
Country : US
Telephone Number : 419-998-4573
Fax Number : 419-998-4586
Provider Business Practice Location Address
First Line : 5734 COVENTRY LANE
Second Line :
City : FORT WAYNE
State : IN
Zip : 46804-7141
Country : US
Telephone Number : 260-436-7875
Fax Number : 260-432-9812
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/01/2005
Last Update Date : 02/04/2016

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