Individual
LAWRENCE SIVORI II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3101 BRECKENRIDGE LN STE 2D, LOUISVILLE, KY 40220-2742
(502) 459-8012
Mailing address
3101 BRECKENRIDGE LN STE 2D, LOUISVILLE, KY 40220-2742
(502) 459-8012
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
8493
KY
174400000X
Specialist
8493
KY
Other
Enumeration date
07/09/2008
Last updated
11/06/2013
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