Provider Demographics
NPI:1992907828
Name:TROCHER, LUCILLE M (PA)
Entity type:Individual
Prefix:
First Name:LUCILLE
Middle Name:M
Last Name:TROCHER
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:110 DEHAVEN DR
Mailing Address - Street 2:APT. 325
Mailing Address - City:YONKERS
Mailing Address - State:NY
Mailing Address - Zip Code:10703-1278
Mailing Address - Country:US
Mailing Address - Phone:914-423-4972
Mailing Address - Fax:718-920-2058
Practice Address - Street 1:MMC DEPT OF MEDICINE
Practice Address - Street 2:111 E. 210TH STREET
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10467
Practice Address - Country:US
Practice Address - Phone:718-920-7401
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY005289363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant