Provider Demographics
NPI:1467660829
Name:LORA'S CORP.
Entity Type:Organization
Organization Name:LORA'S CORP.
Other - Org Name:LABORATORIO CLINICO DEL ESTE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:LAB. DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARITZA
Authorized Official - Middle Name:
Authorized Official - Last Name:LORA
Authorized Official - Suffix:
Authorized Official - Credentials:MTBS
Authorized Official - Phone:787-733-8344
Mailing Address - Street 1:PO BOX 901
Mailing Address - Street 2:
Mailing Address - City:LAS PIEDRAS
Mailing Address - State:PR
Mailing Address - Zip Code:00771-0901
Mailing Address - Country:US
Mailing Address - Phone:787-733-8344
Mailing Address - Fax:787-733-4210
Practice Address - Street 1:8 CALLE JT PINERO
Practice Address - Street 2:
Practice Address - City:LAS PIEDRAS
Practice Address - State:PR
Practice Address - Zip Code:00771-3002
Practice Address - Country:US
Practice Address - Phone:787-733-8344
Practice Address - Fax:787-733-4210
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-18
Last Update Date:2007-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR515291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory