Individual
JOHN C LOURAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
241 STRATTON RD, RUTLAND, VT 05701-4621
(802) 775-1903
(802) 775-5503
Mailing address
241 STRATTON RD, RUTLAND, VT 05701-4621
(802) 775-1903
(802) 775-5503
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
0420007074
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00005961
BS
VT
05
—
0005961
—
VT
01
—
020014395
RAILROAD MEDICARE
—
01
—
02195
MVP
—
01
—
03023585607
CIGNA
—
01
—
100027041929
CDPHP
—
01
—
16952
CIGNA
—
01
—
39060
HS
—
01
—
619320
TRGON
—
01
—
8000111
LADIES FIRST
VT
Enumeration date
05/15/2006
Last updated
02/14/2011
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