Individual
LAUREN KOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
138 WELLS AVE, GREENWOOD, SC 29646-3837
(864) 725-4138
Mailing address
138 WELLS AVE, GREENWOOD, SC 29646-3837
(864) 725-4138
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
3839
SC
Other
Enumeration date
03/12/2021
Last updated
08/16/2024
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