Individual
DR. LISA M KOTCH
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
840 SANS SOUCI PKWY, HANOVER TOWNSHIP, PA 18706-1348
(570) 824-8083
Mailing address
840 SANS SOUCI PKWY, HANOVER TOWNSHIP, PA 18706-1348
(570) 824-8083
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS027239L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
401772
UNITED CONCORDIA
PA
Enumeration date
04/13/2006
Last updated
07/08/2007
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