Individual
STEPHANY AMANDA COCHRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ASCP(CM)
Contact information
Practice address
930 MAPLE ST, NORTH LIBERTY, IA 52317-9085
(319) 899-9239
Mailing address
930 MAPLE ST, NORTH LIBERTY, IA 52317-9085
(319) 899-9239
Taxonomy
Speciality
Code
Description
License number
State
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
Primary
2541948
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2541948
ASCP
IA
Enumeration date
03/14/2020
Last updated
03/14/2020
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