| Lisa A. Kochis, Psc | |
|
4071 Tates Creek Centre Dr Ste 306 Lexington KY 40517-3065 | |
| (859) 971-1137 | |
| Not Available |
| Full Name | Lisa A. Kochis, Psc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 4071 Tates Creek Centre Dr Ste 306, Lexington, Kentucky |
| Authorized Official Name and Position | Lisa Kochis (PRESIDENT) |
| Authorized Official Contact | 8599711137 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa A. Kochis, Psc 4071 Tates Creek Centre Dr Ste 306 Lexington KY 40517-3065 Ph: (859) 971-1137 | Lisa A. Kochis, Psc 4071 Tates Creek Centre Dr Ste 306 Lexington KY 40517-3065 Ph: (859) 971-1137 |
| NPI Number | 1730457821 |
|---|---|
| Provider Enumeration Date | 12/05/2011 |
| Last Update Date | 12/05/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730457821 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 7782 (Kentucky) | Primary |
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