Individual
LORIE ANNE CORCORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
1401 E STATE ST, 2ND FLOOR, ROCKFORD, IL 61104-2315
(815) 961-2460
(815) 967-5470
Mailing address
PO BOX 1567, ROCKFORD, IL 61110-0067
(779) 696-7150
(779) 696-7342
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
209009835
IL
Other
Enumeration date
08/25/2011
Last updated
11/02/2015
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