Provider Demographics
NPI:1114168531
Name:KORTE, LISA ANN (MSW)
Entity Type:Individual
Prefix:
First Name:LISA
Middle Name:ANN
Last Name:KORTE
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1516 CULEBRA AVE
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80907-7327
Mailing Address - Country:US
Mailing Address - Phone:719-632-7471
Mailing Address - Fax:
Practice Address - Street 1:1516 CULEBRA AVE
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80907-7327
Practice Address - Country:US
Practice Address - Phone:719-632-7471
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-14
Last Update Date:2009-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker