Provider Demographics
NPI:1154392546
Name:KOERNER, LYNNE ANNE (NP MS)
Entity type:Individual
Prefix:MS
First Name:LYNNE
Middle Name:ANNE
Last Name:KOERNER
Suffix:
Gender:F
Credentials:NP MS
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Mailing Address - Street 1:PO BOX 412
Mailing Address - Street 2:
Mailing Address - City:CONIFER
Mailing Address - State:CO
Mailing Address - Zip Code:80433-0412
Mailing Address - Country:US
Mailing Address - Phone:303-724-0212
Mailing Address - Fax:303-724-0828
Practice Address - Street 1:13001 E 17TH PL
Practice Address - Street 2:VA OUTPT CUNICAT FITZSIMONS
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80045
Practice Address - Country:US
Practice Address - Phone:303-724-0212
Practice Address - Fax:303-724-0828
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-01
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CORN63566363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner