Provider Demographics
NPI:1245584515
Name:LOPRIORE, DAVID R (LAC)
Entity Type:Individual
Prefix:MR
First Name:DAVID
Middle Name:R
Last Name:LOPRIORE
Suffix:
Gender:M
Credentials:LAC
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Mailing Address - Street 1:339 FLANDERS RD
Mailing Address - Street 2:LATIMER BROOK COMMONS UNIT 107
Mailing Address - City:EAST LYME
Mailing Address - State:CT
Mailing Address - Zip Code:06333-1700
Mailing Address - Country:US
Mailing Address - Phone:860-739-5102
Mailing Address - Fax:860-739-1844
Practice Address - Street 1:339 FLANDERS RD
Practice Address - Street 2:LATIMER BROOK COMMONS UNIT 107
Practice Address - City:EAST LYME
Practice Address - State:CT
Practice Address - Zip Code:06333-1700
Practice Address - Country:US
Practice Address - Phone:860-739-5102
Practice Address - Fax:860-739-1844
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-07
Last Update Date:2018-04-16
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Provider Licenses
StateLicense IDTaxonomies
CT000112171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist