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Individual

DR. VICTOR EMMANUEL G LORICA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3930 WALNUT STREET, SUITE 101, FAIRFAX, VA 22030-4738
(703) 246-9246
(703) 246-9257
Mailing address
3930 WALNUT STREET, SUITE 101, FAIRFAX, VA 22030-4738
(703) 246-9246
(703) 246-9257

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
0101051945
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
005805724
VA
05
010137446
VA
05
010137527
VA
05
010137578
VA
05
010137624
VA
05
010138086
VA
05
010138108
VA
05
010138132
VA
05
010138159
VA
05
010138299
VA
05
010138302
VA
05
010138329
VA
05
010138370
VA
05
010138400
VA
01
2062979
UNITED HEALTHCARE
01
47430003
CAREFIRST
01
9073133
CIGNA
Enumeration date
10/03/2006
Last updated
02/28/2013
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