Individual
MICHAEL R LORIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1504 MAIN ST, JEANERETTE, LA 70544-3528
(337) 276-5326
Mailing address
1504 MAIN ST, JEANERETTE, LA 70544-3528
(337) 276-5326
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3087
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1830879
—
LA
Enumeration date
03/18/2013
Last updated
03/18/2013
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