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Katrina Marie Pack, MD
Neuromuscular Medicine (Psychiatry & Neurology) Physician in Lafayette, Colorado
NPI 1144517947

Katrina Marie Pack is a Neuromuscular Medicine (Psychiatry & Neurology) Physician based in Scottsbluff, CO and is specialized in Neuromuscular Medicine. Katrina Marie Pack practices in Lafayette, CO and has the professional credentials of MD. The NPI Number for Katrina Marie Pack is 1144517947 and holds a License No. MT200363 (Colorado).

The current practice location address for Katrina Marie Pack is 300 Exempla Cir, Lafayette, CO and can be reached out via phone at 303-689-6591 and via fax at 303-306-7753. You can also correspond with Katrina Marie Pack through the mailing address at 4021 AVENUE B, SCOTTSBLUFF, NE - 69361-4602 (mailing address contact number: 308-635-7511).

Location: 300 Exempla Cir, Lafayette, CO, 69361-4602
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1144517947
Provider Name
Katrina Marie Pack
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
300 Exempla Cir, Lafayette, CO, 69361-4602
Phone Number
303-689-6591
Fax Number
303-306-7753
Provider Enumeration Date
06/30/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
DR.0056896 01 CO COLORADO MEDICAL LICENSE
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Provider Business Practice Location Address Details
Address
300 Exempla Cir
City
Lafayette
State
Colorado
Zip
80026-3397
Phone Number
303-689-6591
Fax Number
303-306-7753
person
Provider Business Mailing Address Details
Address
4021 Avenue B
City
Scottsbluff
State
Nebraska
Zip
69361-4602
Phone Number
308-635-7511
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Neuromuscular Medicine
Taxonomy
2084N0008X
License No.
DR.0056896 (Colorado)
Definition
A neurologist or child neurologist who specializes in the diagnosis and management of disorders of nerve, muscle or neuromuscular junction, including amyotrophic lateral sclerosis, peripheral neuropathies (e.g., diabetic and immune mediated neuropathies), various muscular dystrophies, congenital and acquired myopathies, inflammatory myopathies (e.g., polymyositis, inclusion body myositis) and neuromuscular transmission disorders (e.g., myasthenia gravis, Lambert-Eaton myasthenic syndrome).
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Neurology
Taxonomy
2084N0400X
License No.
MT200363 (Pennsylvania)
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
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