| Dr Lisa M Koch, AUD | |
|
601 6th Ave, Huntington, WV 25701-2103 | |
| (304) 525-7221 | |
| Not Available |
| Full Name | Dr Lisa M Koch |
|---|---|
| Gender | Female |
| Speciality | Audiologist |
| Location | 601 6th Ave, Huntington, West Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609119700 | NPI | - | NPPES |
| 311090322 | Other | FEIN 311090322 |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 231H00000X | Audiologist | A0320 (Ohio) | Primary |
| 231H00000X | Audiologist | 0158 (Kentucky) | Secondary |
| 231H00000X | Audiologist | A0291 (West Virginia) | Secondary |
| Provider Name | Mobile Medical Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1689620015 PECOS PAC ID: 5890765481 Enrollment ID: O20040730000013 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Lisa M Koch, AUD 601 6th Ave, Huntington, WV 25701-2103 Ph: (304) 525-7221 | Dr Lisa M Koch, AUD 601 6th Ave, Huntington, WV 25701-2103 Ph: (304) 525-7221 |
Nancy Bockway, M.A. Audiologist Medicare: Not Enrolled in Medicare Practice Location: 1 John Marshall Dr, Huntington, WV 25755 Phone: 304-696-3640 | |
Dr. Bethany Ellen Stover, AU.D. Audiologist Medicare: Not Enrolled in Medicare Practice Location: 1540 Spring Valley Dr, Huntington, WV 25704 Phone: 304-429-6755 | |
Aimee Jill Pannell, AU.D. Audiologist Medicare: Not Enrolled in Medicare Practice Location: 1540 Spring Valley Dr, Huntington, WV 25704 Phone: 304-429-6741 | |
Dr. Emily Anne Ijams, AU.D. Audiologist Medicare: Not Enrolled in Medicare Practice Location: 1540 Spring Valley Dr, Huntington, WV 25704 Phone: 304-429-6741 | |
Ms. Rhonda Ann Lester-parker, M.S./CCC-A Audiologist Medicare: Not Enrolled in Medicare Practice Location: 2850 5th Ave, Huntington, WV 25702 Phone: 304-528-5000 Fax: 304-528-5136 | |
Mr. David L Smith, MA CCC A Audiologist Medicare: Not Enrolled in Medicare Practice Location: 5170 Us Rt 60 East, Huntington, WV 25705 Phone: 304-528-4600 Fax: 304-399-2396 | |
Dr. Emily Brown, AU.D. Audiologist Medicare: Not Enrolled in Medicare Practice Location: 1540 Spring Valley Dr # 126, Huntington, WV 25704 Phone: 304-429-6741 |