Fausto R. Lora-Mir, M.D.

NPI #1104875434 in Elgin, Illinois

Provider Information

NPI Number: 1104875434
Entity Type: Individual
Name: Fausto R. Lora-Mir, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Internal Medicine
Credential: M.D.
Enumeration Date: May 5, 2006
Last Updated: Oct 3, 2008

Practice Location

Address: 2023 ROYAL BLVD
Address 2: SUITE A
City: Elgin
State: Illinois
ZIP Code: 60120
Phone: (847) 931-7274

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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