Individual
MS. LAURA KOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRPA-P
Contact information
Practice address
81 LAKE AVE, ROCHESTER, NY 14608-1410
(585) 416-9183
Mailing address
81 LAKE AVE, ROCHESTER, NY 14608-1410
(585) 416-9183
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
CRPA-P-4561
NY
Other
Enumeration date
07/27/2022
Last updated
07/27/2022
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