Individual
DR. LORA RICCOLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1N121 COUNTY FARM RD, SUITE 130, WINFIELD, IL 60190-2019
(630) 653-7700
(630) 653-8035
Mailing address
1N121 COUNTY FARM RD, SUITE 130, WINFIELD, IL 60190
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019022967
IL
Other
Enumeration date
09/19/2011
Last updated
09/19/2011
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