Individual
LAUREN RICHELLE KOCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3009 BURNET AVE, CINCINNATI, OH 45219-2419
(513) 704-1752
Mailing address
6 BROADWOOD LN, AMELIA, OH 45102-2192
(513) 704-1752
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
10/12/2020
Last updated
10/12/2020
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