Coryell, Laurie Anne
Coryell, Laurie Anne is an individual health care provider with primary practice located at 17230 Jackson Creek Pkwy Ste 120, Monument CO 80132-7301. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Emergency Medical Services. Allopathic & Osteopathic Physicians / Emergency Medicine is her primary health care specialty. Coryell, Laurie Anne can be contacted via phone (719) 571-7070.Contact Information
Primary practice address
17230 Jackson Creek Pkwy Ste 120
Monument CO 80132-7301
Phone: (719) 571-7070
Fax: (719) 571-7079
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | CO26821 | Colorado |
Allopathic & Osteopathic Physicians / Emergency Medical Services | 207PE0004X | CO26821 | Colorado |
Profile Details
NPI number | 1477641298 |
---|---|
LBN Legal business name | Coryell, Laurie Anne |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 10th, 2006 |
Last updated | Nov 30th, 2016 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1477641298 | NPPES |
Colorado | MEDICAID | 01268218 |
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