Provider Demographics
NPI:1194153460
Name:ROCK, TAUNYA
Entity type:Individual
Prefix:
First Name:TAUNYA
Middle Name:
Last Name:ROCK
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3593 PENNINGTON RD
Mailing Address - Street 2:
Mailing Address - City:SHAKER HTS
Mailing Address - State:OH
Mailing Address - Zip Code:44120-5013
Mailing Address - Country:US
Mailing Address - Phone:216-233-8252
Mailing Address - Fax:855-270-4695
Practice Address - Street 1:3593 PENNINGTON RD
Practice Address - Street 2:
Practice Address - City:SHAKER HTS
Practice Address - State:OH
Practice Address - Zip Code:44120-5013
Practice Address - Country:US
Practice Address - Phone:216-333-6025
Practice Address - Fax:185-527-0469
Is Sole Proprietor?:Yes
Enumeration Date:2013-10-24
Last Update Date:2013-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomy