Individual
MRS. LAURIE M MCCORMICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, DFAPA
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
1957
VI
2084P0800X
Psychiatry 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
08/07/2026
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