Individual
DEBRA KOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
300 MAIN ST, LEWISTON, ME 04240-7027
(207) 795-5775
(207) 795-5653
Mailing address
300 MAIN ST, LEWISTON, ME 04240-7027
(207) 795-5775
(207) 795-5653
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RNA83029
ME
Other
Enumeration date
07/19/2006
Last updated
07/16/2015
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