Individual
LAUREN GITANE KOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2500 OVERLOOK TER, MADISON, WI 53705-2254
(608) 280-7084
Mailing address
5382 GUILFORD RD UNIT 1, ROCKFORD, IL 61107-2413
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1112319
WI
Other
Enumeration date
03/19/2026
Last updated
03/19/2026
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