Individual
DR. LORI E COCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
3771 NEW TOWN BLVD, SAINT CHARLES, MO 63301-4358
(636) 724-1199
(636) 724-1218
Mailing address
3771 NEW TOWN BLVD, SAINT CHARLES, MO 63301-4358
(636) 724-1199
(636) 724-1218
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
019026544
IL
122300000X
Dentist
Primary
2004013332
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
019026544
—
IL
01
—
20-5702402
PRIVATE DENTAL PRACTICE
MO
Enumeration date
09/01/2006
Last updated
07/08/2007
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