Koroluk, Lorne David

Koroluk, Lorne David is an individual health care provider with primary practice located at 101 Brauer Hall Cb # 7450 , Chapel Hill NC 27599-0001. He recently has 2 registered licenses in different health care specialties including Dental Providers / Pediatric Dentistry, Dental Providers / Orthodontics and Dentofacial Orthopedics. Dental Providers / Pediatric Dentistry is his primary health care specialty. Koroluk, Lorne David can be contacted via phone (919) 966-1221.

Contact Information

Primary practice address
101 Brauer Hall Cb # 7450 Chapel Hill NC 27599-0001
Phone: (919) 966-1221
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 0014 North Carolina
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 0014 North Carolina
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 10833 Minnesota
Dental Providers / Pediatric Dentistry 1223P0221X 10833 Minnesota

Profile Details

NPI number 1124046826
LBN Legal business name Koroluk, Lorne David
Credentials DDS, MSD, MS, FRCD(C
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2006
Last updated Jul 8th, 2007 - about 18 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 1124046826 NPPES
North Carolina MEDICAID 89-9009F

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