Provider Demographics
NPI:1588211338
Name:VILORD, LAWRENCE NICOLAS
Entity Type:Individual
Prefix:
First Name:LAWRENCE
Middle Name:NICOLAS
Last Name:VILORD
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:244 S COCONUT LN
Mailing Address - Street 2:
Mailing Address - City:MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33139-5164
Mailing Address - Country:US
Mailing Address - Phone:305-951-8473
Mailing Address - Fax:
Practice Address - Street 1:244 S COCONUT LN
Practice Address - Street 2:
Practice Address - City:MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33139-5164
Practice Address - Country:US
Practice Address - Phone:305-951-8473
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-26
Last Update Date:2019-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider