Individual
CARMEN LORA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1608 MELVILLE ST, APART 3, BRONX, NY 10460-2713
(718) 874-9434
Mailing address
1608 MELVILLE ST, #3, BRONX, NY 10460-2713
(718) 874-9434
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
04/23/2013
Last updated
04/23/2013
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