Provider Demographics
NPI:1851664148
Name:LORIA, VICTOR (DO)
Entity Type:Individual
Prefix:DR
First Name:VICTOR
Middle Name:
Last Name:LORIA
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:6155 W BOYNTON BEACH BLVD #334
Mailing Address - Street 2:
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33437
Mailing Address - Country:US
Mailing Address - Phone:561-613-0250
Mailing Address - Fax:561-613-0254
Practice Address - Street 1:2499 GLADES RD
Practice Address - Street 2:209
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33431-7209
Practice Address - Country:US
Practice Address - Phone:561-613-0250
Practice Address - Fax:561-613-0254
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-16
Last Update Date:2012-02-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FL8180207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology