Individual
LORI KORSAKOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
88 MORGAN STREET, APARTMENT 401, JERSEY CITY, NJ 07302
(201) 317-8561
Mailing address
88 MORGAN STREET, APARTMENT 401, JERSEY CITY, NJ 07302
(201) 317-8561
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
26NJ00626800
NJ
363LG0600X
Gerontology Nurse Practitioner
26NJ00626800
NJ
Other
Enumeration date
04/04/2016
Last updated
04/04/2016
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