Provider Demographics
NPI:1629400106
Name:THOMAS, ROCHELLE LENORE (LPN)
Entity Type:Individual
Prefix:MISS
First Name:ROCHELLE
Middle Name:LENORE
Last Name:THOMAS
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:756 DAVIES AVE
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44306-2704
Mailing Address - Country:US
Mailing Address - Phone:330-301-2349
Mailing Address - Fax:
Practice Address - Street 1:756 DAVIES AVE
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44306-2704
Practice Address - Country:US
Practice Address - Phone:330-301-2349
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-06
Last Update Date:2013-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH124252M164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse