Individual
DR. JERRY J LORIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2010 ACTIVE WAY, BENTON, AR 72019-7566
(501) 315-0984
(501) 847-1405
Mailing address
PO BOX 3250, BENTON, AR 72018-3250
(501) 315-0984
(501) 847-1405
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
E-0199
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
126621001
—
AR
Enumeration date
12/01/2005
Last updated
11/16/2015
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