Individual
DR. JAMES ROBERT LORD
Active
Individual
DR. JAMES ROBERT LORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
2115
MA
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
016004900
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016004900
—
IL
01
—
316001998
CONTOLLED SUBSTANCE #
IL
01
—
Y71049
BLUE CROSS
IL
Enumeration date
07/31/2006
Last updated
03/07/2023
Update your record
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