Provider Demographics
NPI:1700381142
Name:LORA, ALNARDO DE JESUS (MD)
Entity Type:Individual
Prefix:DR
First Name:ALNARDO
Middle Name:DE JESUS
Last Name:LORA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:32 FRUIT ST
Mailing Address - Street 2:BUL 148
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02114-2620
Mailing Address - Country:US
Mailing Address - Phone:617-724-9674
Mailing Address - Fax:617-726-6878
Practice Address - Street 1:32 FRUIT ST
Practice Address - Street 2:BUL 148
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02114-2620
Practice Address - Country:US
Practice Address - Phone:617-724-9674
Practice Address - Fax:617-726-6878
Is Sole Proprietor?:No
Enumeration Date:2018-03-27
Last Update Date:2022-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program