Provider Demographics
NPI:1063508117
Name:LORBECK, JAMES CLIFFORD (DDS)
Entity Type:Individual
Prefix:DR
First Name:JAMES
Middle Name:CLIFFORD
Last Name:LORBECK
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25 ENGLISH TURN DR
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70131-3308
Mailing Address - Country:US
Mailing Address - Phone:504-392-2560
Mailing Address - Fax:
Practice Address - Street 1:2300 GENERAL MEYER AVE
Practice Address - Street 2:NACC BLDG-H-100
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70142-0001
Practice Address - Country:US
Practice Address - Phone:504-678-2483
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA23261223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice