Individual
SHANNON KOTCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2141 OREGON PIKE, LANCASTER, PA 17602-4604
(717) 617-2708
Mailing address
174 ROUTE 715 BROODHEADSVILLE, PA 18322, BROODHEADSVILLE, PA 18322
(570) 977-7707
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN280580
PA
Other
Enumeration date
07/31/2025
Last updated
07/31/2025
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