Individual
LORA MEDWID
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
1781 PINE HOLLOW RD, MC KEES ROCKS, PA 15136-1544
(412) 331-1417
Mailing address
1781 PINE HOLLOW RD, MC KEES ROCKS, PA 15136-1544
(412) 331-1417
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DS026335L
PA
Other
Enumeration date
01/31/2007
Last updated
07/08/2007
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