Healthcare Provider Details

I. General information

NPI: 1518356179
Provider Name (Legal Business Name): LAUREN KOCHER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/20/2015
Last Update Date: 01/20/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 S. JEFFERSON ST
NEW CASTLE PA
16101-3924
US

IV. Provider business mailing address

200 S. JEFFERSTON ST
NEW CASTLE PA
16101-3924
US

V. Phone/Fax

Practice location:
  • Phone: 724-658-5666
  • Fax: 724-658-7953
Mailing address:
  • Phone: 724-658-5666
  • Fax: 724-658-7953

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133N00000X
TaxonomyNutritionist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: