Individual
DR. MAURICE P. LORD II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
415 N 26TH ST, SUITE 300, LAFAYETTE, IN 47904-2895
(765) 447-6858
(765) 446-1001
Mailing address
415 N 26TH ST., SUITE 300, LAFAYETTE, IN 47904
(765) 447-6858
(765) 446-1001
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6121
IN
Other
Enumeration date
02/27/2007
Last updated
07/08/2007
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