MEDICARE: ERIC ARTHUR LORIO MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RG0100X	Gastroenterology Physician	326691	LA

General Provider Information

NPI Number	:	1730670431
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERIC ARTHUR LORIO MD

Provider Business Mailing Address
First Line	:	PO BOX 35629
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75235-0629
Country	:	US
Telephone Number	:	214-424-2213
Fax Number	:	214-231-2159

Provider Business Practice Location Address
First Line	:	1151 BARATARIA BLVD STE 4400
Second Line	:
City	:	MARRERO
State	:	LA
Zip	:	70072-3084
Country	:	US
Telephone Number	:	504-349-6401
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/29/2018
Last Update Date	:	07/31/2024

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