Individual
DR. LAWRENCE DANIEL KOUTCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
19 COOKE ST, POUGHKEEPSIE, NY 12601-1303
(570) 504-7210
(570) 955-2213
Mailing address
1978 CROMPOND RD, CORTLANDT MANOR, NY 10567-4111
(914) 293-8450
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
240791-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02591468
—
NY
Enumeration date
06/12/2007
Last updated
07/05/2024
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