Individual
JOHN LORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
919 E 32ND STREET, AUSTIN, TX 78765
(512) 404-8145
(512) 404-8146
Mailing address
PO BOX 4268, AUSTIN, TX 78765-4268
(512) 306-1903
(512) 382-0303
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
D3919
TX
207PE0005X
Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
D3919
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
123841202
—
TX
Enumeration date
12/12/2006
Last updated
10/04/2013
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