Healthcare Provider Details

I. General information

NPI: 1841252475
Provider Name (Legal Business Name): JOHN A LORANT M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/06/2006
Last Update Date: 08/13/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3160 GENEVA STREET SHRINERS HOSPITALS FOR CHILDREN LOS ANGELES
LOS ANGELES CA
90020
US

IV. Provider business mailing address

PO BOX 8500, LOCKBOX 7642 SHRINERS HOSPITALS FOR CHILDREN
PHILADELPHIA PA
19178-7642
US

V. Phone/Fax

Practice location:
  • Phone: 213-368-3338
  • Fax: 213-368-3314
Mailing address:
  • Phone: 813-281-8478
  • Fax: 813-281-8113

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License NumberG52874
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: