# DR. LORELEI NATASHA BOURLA

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

## Provider details

- **NPI number:** 1144649260
- **Gender:** F
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207K00000X | Allergy & Immunology Physician | 304556 | NY | Yes |
| 207K00000X | Allergy & Immunology Physician | 62057 | CO | — |
| 207RA0201X | Allergy & Immunology (Internal Medicine) Physician | DR.0062057 | CO | — |

## Other

- **Enumeration date:** 04/16/2014
- **Last updated:** 09/16/2020
