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Individual

JOHN C LOURAS

Active
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Individual

JOHN C LOURAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
0420007074
VT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00005961
BS
VT
05
—
0005961
—
VT
01
—
020014395
RAILROAD MEDICARE
—
01
—
02195
MVP
—
01
—
03023585607
CIGNA
—
01
—
100027041929
CDPHP
—
01
—
16952
CIGNA
—
01
—
39060
HS
—
01
—
619320
TRGON
—
01
—
8000111
LADIES FIRST
VT
Enumeration date
05/15/2006
Last updated
02/14/2011
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