Provider Demographics
NPI:1134283823
Name:TROCHMANN, LISA MARIE (RN MS CNS)
Entity Type:Individual
Prefix:MS
First Name:LISA
Middle Name:MARIE
Last Name:TROCHMANN
Suffix:
Gender:F
Credentials:RN MS CNS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11850 E FAIR AVE
Mailing Address - Street 2:
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80111-5716
Mailing Address - Country:US
Mailing Address - Phone:303-927-7738
Mailing Address - Fax:
Practice Address - Street 1:11850 E FAIR AVE
Practice Address - Street 2:
Practice Address - City:GREENWOOD VILLAGE
Practice Address - State:CO
Practice Address - Zip Code:80111-5716
Practice Address - Country:US
Practice Address - Phone:303-927-7738
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-20
Last Update Date:2007-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NDR20014163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
COC808414Medicare PIN
NDS27601Medicare UPIN