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
Fax: (719) 571-7079
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477641298 NPPES
Colorado MEDICAID 01268218

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