Individual
MRS. LAURIE M MCCORMICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, DFAPA
Contact information
Practice address
2710 NORTH DODGE STREET, SUITE 1, IOWA CITY, IA 52245
(319) 400-1311
(319) 575-6025
Mailing address
2710 NORTH DODGE STREET, SUITE 1, IOWA CITY, IA 52245
(319) 400-1311
(319) 575-6025
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
1957
VI
2084P0800X
Psychiatry Physician
Primary
35045
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0298422
—
IA
01
—
35290
WELLMARK BCBS
IA
Enumeration date
09/19/2005
Last updated
08/04/2023
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