Healthcare Provider Details

I. General information

NPI: 1386556710
Provider Name (Legal Business Name): KOCHER LAU
Entity Type: Individual
Gender:
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/21/2026
Last Update Date: 09/21/2026
Certification Date: 09/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

559 W GERMANTOWN PIKE
EAST NORRITON PA
19403-4250
US

IV. Provider business mailing address

559 W GERMANTOWN PIKE
EAST NORRITON PA
19403-4250
US

V. Phone/Fax

Practice location:
  • Phone: 484-622-1000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License NumberRN710153
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: