Individual
LAURA L KORTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
906 PRINCESS DR, WEST LAFAYETTE, IN 47906-2040
(765) 491-2482
Mailing address
906 PRINCESS DR, WEST LAFAYETTE, IN 47906-2040
(765) 491-2482
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28199730A
IN
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
01/06/2019
Last updated
01/06/2019
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