Provider Demographics
NPI:1093923344
Name:SKOREC, NIKOL LORI
Entity Type:Individual
Prefix:MRS
First Name:NIKOL
Middle Name:LORI
Last Name:SKOREC
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:NIKOL
Other - Middle Name:LORI
Other - Last Name:BEIER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:126 RAQUELS WAY
Mailing Address - Street 2:
Mailing Address - City:CLARKS SUMMIT
Mailing Address - State:PA
Mailing Address - Zip Code:18411-2813
Mailing Address - Country:US
Mailing Address - Phone:570-346-3335
Mailing Address - Fax:
Practice Address - Street 1:126 RAQUELS WAY
Practice Address - Street 2:
Practice Address - City:CLARKS SUMMIT
Practice Address - State:PA
Practice Address - Zip Code:18411-2813
Practice Address - Country:US
Practice Address - Phone:570-346-3335
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes126800000XDental ProvidersDental Assistant