Lorie Anne Corcoran, APNP
Nurse Practitioner, Acute Care in Rockford, IL. Individual provider (NPI-1).
NPI number1497035166
StatusActive
Last updated in NPPESNov 2, 2015
Details
- NPI
- 1497035166
- Entity type
- Individual (NPI-1)
- Name
- Lorie Anne Corcoran
- Credential
- APNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 25, 2011
- Last updated
- Nov 2, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LA2100X | Nurse Practitioner, Acute Care | 209009835 | IL | Yes |
Other names
- Lorie Anne Tazalla (Former Name)
Practice location
1401 E State St2nd Floor
Rockford, IL 61104-2315
Phone 815-961-2460 · Fax 815-967-5470
Mailing address
Po Box 1567Rockford, IL 61110-0067
Phone 779-696-7150 · Fax 779-696-7342
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