Individual
LAURA KOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, LMNT
Contact information
Practice address
7910 O ST, LINCOLN, NE 68510-2500
(402) 742-8577
Mailing address
7910 O ST, LINCOLN, NE 68510-2500
(402) 742-8577
Taxonomy
Speciality
Code
Description
License number
State
133VN1005X
Renal Nutrition Registered Dietitian
Primary
1187
NE
Other
Enumeration date
09/13/2018
Last updated
09/13/2018
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