Individual
DR. LORELEI NATASHA BOURLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3044 ROUTE 50, SARATOGA SPRINGS, NY 12866-3073
(518) 886-5814
Mailing address
3044 ROUTE 50, SARATOGA SPRINGS, NY 12866-3073
(518) 886-5814
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
304556
NY
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
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