Individual
LUIS GERALD LORA GARCIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1200 LAKE SUPERIOR RD, VALPARAISO, IN 46383-6752
(863) 254-8772
Mailing address
1200 LAKE SUPERIOR RD, VALPARAISO, IN 46383-6752
(863) 254-8772
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01084553A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01084553A
—
IN
Enumeration date
05/05/2017
Last updated
12/20/2024
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