Individual
JACK LOURO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1611 NW 12TH AVE, MIAMI, FL 33136-1005
(305) 585-1191
Mailing address
1611 NW 12TH AVE, MIAMI, FL 33136-1005
(305) 585-6920
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME120078
FL
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
ME120078
FL
Other
Enumeration date
05/05/2010
Last updated
09/19/2024
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