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Individual
JOHN A LORD
Active
Individual
JOHN A LORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
004921
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00011174401
UNIVERA
NY
01
—
000611251001
BLUE CROSS
NY
01
—
650025691
RAILROAD MEDICARE
NY
01
—
812495
ACN
NY
01
—
9308095
INDEPENDENT HEALTH
NY
Enumeration date
05/31/2005
Last updated
12/16/2011
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