Individual
MR. DENNIS CHAVES LOURA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP-C
Contact information
Practice address
1401 DESHLER ST SW, FT MCPHERSON, GA 30330-1040
(770) 968-6306
(678) 422-2378
Mailing address
588 DIGHTON AVE, TAUNTON, MA 02780-4399
(508) 880-9130
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
207820
MA
Other
Enumeration date
12/11/2006
Last updated
07/08/2007
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