Individual
DR. LISA KRISTINE KOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD PHD
Contact information
Practice address
3614 MERIDIAN ST STE 100, BELLINGHAM, WA 98225-1748
(360) 734-2800
(360) 734-3818
Mailing address
3560 MERIDIAN ST STE 101, BELLINGHAM, WA 98225-1731
(360) 734-2800
(360) 734-3818
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
MD60533531
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1639468762
—
WA
Enumeration date
03/29/2011
Last updated
03/17/2023
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