Organization
MICHAEL R.LORIO, D.D.S., A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL R. LORIO D.D.S. (PRESIDENT)
(337) 276-5326
Entity
Organization
Contact information
Practice address
1504 MAIN ST, JEANERETTE, LA 70544-3528
(337) 276-5326
Mailing address
1504 MAIN ST, JEANERETTE, LA 70544-3528
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3087
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1830879
—
LA
Enumeration date
03/12/2007
Last updated
08/22/2020
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