Individual
LAURIE KORDISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2907 PLEASANT VALLEY BLVD, ALTOONA, PA 16602-4305
(877) 626-2500
Mailing address
1581 SCHOOLHOUSE DR, DYSART, PA 16636-7709
(814) 932-7565
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN266466
PA
Other
Enumeration date
12/07/2022
Last updated
12/07/2022
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