Individual
DR. JAMES A. LORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1001 N GAMMON RD, SUITE #1, MIDDLETON, WI 53562-3874
(608) 831-5151
(608) 831-3194
Mailing address
1001 N GAMMON RD, SUITE #1, MIDDLETON, WI 53562-3874
(608) 831-5151
(608) 831-3194
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3250-015
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33711200
—
WI
Enumeration date
08/04/2006
Last updated
07/08/2007
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