Provider Demographics
NPI:1114197092
Name:STROHL, LISA KAY (MSN, FNP)
Entity Type:Individual
Prefix:
First Name:LISA
Middle Name:KAY
Last Name:STROHL
Suffix:
Gender:F
Credentials:MSN, FNP
Other - Prefix:
Other - First Name:LISA
Other - Middle Name:KAY
Other - Last Name:FLEMING
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSN, FNP
Mailing Address - Street 1:807 UNIVERSITY PKWY BOX 70403
Mailing Address - Street 2:
Mailing Address - City:JOHNSON CITY
Mailing Address - State:TN
Mailing Address - Zip Code:37614-1703
Mailing Address - Country:US
Mailing Address - Phone:423-439-4071
Mailing Address - Fax:423-439-4060
Practice Address - Street 1:RED ROCK BEHAVIORAL HEALTH SERVICES
Practice Address - Street 2:4400 NORTH LINCOLN BOULEVARD
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73105
Practice Address - Country:US
Practice Address - Phone:405-424-7711
Practice Address - Fax:405-425-0313
Is Sole Proprietor?:No
Enumeration Date:2008-03-06
Last Update Date:2018-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNAPN0000010426363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN1503096Medicaid
34999261Medicare Oscar/Certification
34999261Medicare PIN