Individual
LAINE K KOCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
11842 ROCK LANDING DR STE 120, NEWPORT NEWS, VA 23606-4437
(757) 622-6315
(757) 622-7022
Mailing address
6160 KEMPSVILLE CIR STE 200A, NORFOLK, VA 23502-3945
(757) 622-6315
(757) 622-7022
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
0101257007
VA
207N00000X
Dermatology Physician
244641
MA
390200000X
Student in an Organized Health Care Education/Training Program
0116017371
VA
Other
Enumeration date
06/15/2008
Last updated
06/24/2024
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