Individual
DR. LORNE DAVID KOROLUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MSD, MS, FRCD(C
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
0014
NC
1223P0221X
Pediatric Dentistry
Primary
10833
MN
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
0014
NC
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
10833
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89-9009F
—
NC
Enumeration date
07/18/2006
Last updated
09/11/2025
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