# DR. LISA M KOCH

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1609119700
- **Gender:** F
- **Credential:** AU.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 231H00000X | Audiologist | 0158 | KY | — |
| 231H00000X | Audiologist | A0291 | WV | — |
| 231H00000X | Audiologist | A0320 | OH | Yes |

## Other

- **Enumeration date:** 03/27/2013
- **Last updated:** 03/27/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 311090322 | FEIN 311090322 | — |