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NPI Code Detail

MEDICARE: DR. LAURI L KORINEK PH.D.

MEDICARE: DR. LAURI L KORINEK PH.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103T00000XPsychologistCO3028CO

General Provider Information

NPI Number : 1861145526
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LAURI L KORINEK PH.D.
Provider Business Mailing Address
First Line : 9364 TEDDY LN STE 204
Second Line :
City : LONE TREE
State : CO
Zip : 80124-2873
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 9364 TEDDY LN STE 204
Second Line :
City : LONE TREE
State : CO
Zip : 80124-2873
Country : US
Telephone Number : 303-324-0451
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/01/2022
Last Update Date : 02/01/2022

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