Michael R Lorio, DDS
Individual provider Active NPI General Practice Dentistry · Jeanerette, LA
NPI 1104168129 · NPPES record last updated Mar 18, 2013
Key facts
- NPI
- 1104168129
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 3087 (LA)
- Practice address
- 1504 Main St
Jeanerette, LA 70544-3528 - Phone
- (337) 276-5326
- NPI assigned
- Mar 18, 2013
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3087 | LA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michael R.Lorio, D.D.S., a Professional Corporation | General Practice | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 3087 | LA | Yes |
Addresses
Primary practice location
1504 Main St
Jeanerette, LA 70544-3528
Mailing address
1504 Main St
Jeanerette, LA 70544-3528
Phone (337) 276-5326
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1830879 | Medicaid | LA |
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- Cheryl Lynn Lewis
- Jadda Nicole Lewis
- Delphina Lockette
- Nebra Kanivbreya Loston
- Magnolia Naturopathic Wellness
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- Katie Manale
- Mary None Emergency Transportation
All providers in Jeanerette, LA · General Practice Dentistry in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 18, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.