Individual
DR. HENRY LORA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
951 NE 167TH ST, SUITE 102, NORTH MIAMI BEACH, FL 33162-3711
(305) 944-1122
(305) 944-1133
Mailing address
951 NE 167TH ST, SUITE 102, NORTH MIAMI BEACH, FL 33162-3711
(305) 944-1122
(305) 944-1133
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
ME82996
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11196017
CAQH
—
05
—
2790483000
—
FL
Enumeration date
05/10/2006
Last updated
03/05/2015
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