Individual
LOREN L SORIA
Active
Individual
LOREN L SORIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036098430
IL
208000000X
Pediatrics Physician
036098430
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036098430
—
IL
05
—
1700864295
—
IA
01
—
P00255065
RR MEDICARE
IL
Enumeration date
01/04/2006
Last updated
05/21/2012
Update your record
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