Individual
LYNETTE KAY KOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
110 10TH ST SW, WAVERLY, IA 50677
(193) 523-1203
(319) 352-5720
Mailing address
110 10TH ST SW, WAVERLY, IA 50677-2924
(193) 523-1203
(319) 352-5720
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
21288
IA
Other
Enumeration date
07/13/2010
Last updated
12/13/2018
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