Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KATRINA MARIE PACK, MD
ActiveKATRINA MARIE PACK, MD is a 2084N0008X healthcare provider located in LAFAYETTE, Colorado. NPI 1144517947 is currently active in the NPPES registry. Verify at CMS.
2084N0008X · LAFAYETTE, CO
Registration Details
- NPI Number
- 1144517947
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 30, 2011 (15.158822373947 yrs)
- Last Updated
- Feb 17, 2022
- Licenses
-
MT200363 (PA)DR.0056896 (CO)04-45667 (KS)DR.0056896 (CO)
Practice Information
- Address
-
300 EXEMPLA CIRSUITE 230LAFAYETTE, CO, 800263397Browse CO providers · Browse ZIP 80026
- Phone
- 3036896591
- Fax
- 3033067753
- Primary Specialty
-
2084N0008X
2084N0008X
- Additional Specialty
- Neurology
- Additional Specialty
- Neurology
- Additional Specialty
- 2084N0008X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.