Individual
DR. LISA KOCHIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS, MS
Contact information
Practice address
4071 TATES CREEK CENTRE DR, SUITE 306, LEXINGTON, KY 40517-3062
(859) 971-1137
Mailing address
4071 TATES CREEK CENTRE DR, SUITE 306, LEXINGTON, KY 40517-3062
(859) 971-1137
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
7782
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
60003837
—
KY
Enumeration date
11/28/2006
Last updated
07/08/2007
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