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NPI Code Detail

MEDICARE: LAUREN GITANE KOCH

MEDICARE: LAUREN GITANE KOCH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered Nurse1112319WI

General Provider Information

NPI Number : 1306794854
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAUREN GITANE KOCH
Provider Business Mailing Address
First Line : 5382 GUILFORD RD UNIT 1
Second Line :
City : ROCKFORD
State : IL
Zip : 61107-2413
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2500 OVERLOOK TER
Second Line :
City : MADISON
State : WI
Zip : 53705-2254
Country : US
Telephone Number : 608-280-7084
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/19/2026
Last Update Date : 03/19/2026

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Directions to “ LAUREN GITANE KOCH ” Practice Location

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