Individual
MS. LISA ANNE KOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1500 EAST MEDICAL CENTER DRIVE, LEVEL 4 UNIVERSITY HOSPITAL BUILDING 1000312, ANN ARBOR, MI 48109-5240
(734) 647-9291
Mailing address
3621 SOUTH STATE STREET, 700 KMS PLACE, ANN ARBOR, MI 48108
(734) 936-2047
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601007213
MI
Other
Enumeration date
10/20/2014
Last updated
01/30/2017
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