Individual
DR. LAURA R KORMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C., P.A.
Contact information
Practice address
16954 TOLEDO BLADE BLVD, PORT CHARLOTTE, FL 33954-1674
(941) 629-6700
(941) 629-6805
Mailing address
16954 TOLEDO BLADE BLVD, PORT CHARLOTTE, FL 33954-1674
(941) 629-6700
(941) 629-6805
Taxonomy
Speciality
Code
Description
License number
State
111NN1001X
Nutrition Chiropractor
Primary
CH0005942
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22466
BLUE CROSS/BLUE SHIELD
FL
05
—
380931500
—
FL
Enumeration date
08/02/2006
Last updated
01/17/2013
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