Individual
DR. LAURIE ANNE CORYELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
17230 JACKSON CREEK PKWY, STE 120, MONUMENT, CO 80132-7301
(719) 571-7070
(719) 571-7079
Mailing address
17230 JACKSON CREEK PKWY, STE 120, MONUMENT, CO 80132-7301
(719) 571-7070
(719) 571-7079
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
CO26821
CO
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
CO26821
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01268218
—
CO
Enumeration date
10/10/2006
Last updated
11/30/2016
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