Brock, Lisa Anne

Brock, Lisa Anne is an individual health care provider with primary practice located at 4301 N Walnut St , Muncie IN 47303-1190. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Brock, Lisa Anne can be contacted via phone (765) 282-0053.

Contact Information

Primary practice address
4301 N Walnut St Muncie IN 47303-1190
Phone: (765) 282-0053
Fax: (765) 282-3290
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 71001294A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 71001294A Indiana

Profile Details

NPI number 1255422366
LBN Legal business name Brock, Lisa Anne
Credentials APRN-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2006
Last updated Oct 23rd, 2017 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255422366 NPPES
Indiana Other 000000507763 BCBS
Indiana MEDICAID 200839670 BCBS

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