Provider Demographics
NPI:1225776073
Name:COCHRAN, JANICE LYNN
Entity Type:Individual
Prefix:MS
First Name:JANICE
Middle Name:LYNN
Last Name:COCHRAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:114 STUDENT UNION
Mailing Address - Street 2:
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14260-2100
Mailing Address - Country:US
Mailing Address - Phone:716-645-6940
Mailing Address - Fax:716-645-6234
Practice Address - Street 1:114 STUDENT UNION
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14260-2100
Practice Address - Country:US
Practice Address - Phone:716-645-6940
Practice Address - Fax:716-645-6234
Is Sole Proprietor?:No
Enumeration Date:2022-05-23
Last Update Date:2022-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered