Individual
DR. LEROY W KOSCHEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5151 PLANK RD, SUITE. 17-A, BATON ROUGE, LA 70805-3501
(225) 355-3070
(225) 355-6305
Mailing address
5151 PLANK RD STE 17A, BATON ROUGE, LA 70805-3501
(225) 355-3070
(225) 355-6305
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4891
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1848913
—
LA
05
—
1880973
—
LA
Enumeration date
02/23/2007
Last updated
07/11/2012
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