Individual
LAUREN KATHRYNE CORLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
619 19TH ST S, BIRMINGHAM, AL 35249-1308
(205) 934-4011
Mailing address
PO BOX 55310, BIRMINGHAM, AL 35255-5310
(205) 731-9701
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
2902
AL
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Enumeration date
05/03/2017
Last updated
07/22/2022
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