# LAURA K CORBITO

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1083047609
- **Gender:** F
- **Credential:** PA-C

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | 10001784A | IN | Yes |
| 363AM0700X | Medical Physician Assistant | 0110004253 | VA | — |
| 363AM0700X | Medical Physician Assistant | 10001784A | IN | — |

## Other

- **Enumeration date:** 08/19/2013
- **Last updated:** 01/06/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 10001784A | INDIANA | IN |
| 01 | — | P01512403 | MEDICARE RR | IN |