Individual
DR. LYLE EDWARD KOCA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
11420 BLONDO ST, STE 102, OMAHA, NE 68164-3858
(402) 496-4570
(402) 496-8972
Mailing address
11420 BLONDO ST, STE 102, OMAHA, NE 68164-3858
(402) 496-4570
(402) 496-8972
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
956
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100249715-00
—
NE
Enumeration date
12/05/2006
Last updated
09/24/2018
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