Most Relevant Information
Provider Data
| NPI Number: | 1003414178 |
| Provider Name: | LAUREN RICHELLE KOCH |
| Entity Type: | Individual |
| Taxonomy Code: | 175T00000X |
| Specialty: | Peer Specialist |
| License Number: |
Most Important Dates
| Enumeration Date: | 10/12/2020 |
| Last Updated: | 10/12/2020 |
Provider Practice Location
3009 BURNET AVE
CINCINNATI
OH
452192419
Practice Location Phone/Fax
| Phone: | 5137041752 |
| Fax: |
Provider Mailing Location
6 BROADWOOD LN
AMELIA
OH
451022192
Provider Mailing Phone/Fax
| Phone: | 5137041752 |
| Fax: |