Provider Demographics
NPI:1215105788
Name:DOCKERY, ERIN LARK (LPN)
Entity type:Individual
Prefix:MRS
First Name:ERIN
Middle Name:LARK
Last Name:DOCKERY
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 1:551 LINDELL ST
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44305-2809
Mailing Address - Country:US
Mailing Address - Phone:330-794-9955
Mailing Address - Fax:
Practice Address - Street 1:551 LINDELL ST
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44305-2809
Practice Address - Country:US
Practice Address - Phone:330-794-9955
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-18
Last Update Date:2008-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH73135164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse