Individual
PHILIP R LORIA JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2204 JEFFERSON DAVIS DRIVE, OXFORD, MS 38655
(662) 236-6850
(662) 236-5010
Mailing address
2204 JEFFERSON DAVIS DRIVE, OXFORD, MS 38655
(662) 236-6850
(662) 236-5010
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
12732
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00016031
—
MS
Enumeration date
09/08/2006
Last updated
06/05/2008
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