Individual
DR. LORNE ERIC PULVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2629 45TH ST, HIGHLAND, IN 46322
(219) 934-0404
(219) 934-0402
Mailing address
1445 W SCHOOL ST, CHICAGO, IL 60657
(773) 868-1266
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
12010331A
IN
Other
Enumeration date
09/28/2006
Last updated
07/08/2007
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