Provider Demographics
NPI:1992016133
Name:LORIO, ANDREA RUDOMIN CONANT (DO)
Entity type:Individual
Prefix:DR
First Name:ANDREA
Middle Name:RUDOMIN CONANT
Last Name:LORIO
Suffix:
Gender:F
Credentials:DO
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Mailing Address - Street 1:8120 MAIN STREET
Mailing Address - Street 2:SUITE 204
Mailing Address - City:HOU
Mailing Address - State:LA
Mailing Address - Zip Code:70360
Mailing Address - Country:US
Mailing Address - Phone:985-850-6090
Mailing Address - Fax:985-850-6099
Practice Address - Street 1:8120 MAIN STREET
Practice Address - Street 2:SUITE 204
Practice Address - City:HOUMA
Practice Address - State:LA
Practice Address - Zip Code:70360
Practice Address - Country:US
Practice Address - Phone:985-850-6090
Practice Address - Fax:985-850-6099
Is Sole Proprietor?:No
Enumeration Date:2010-06-22
Last Update Date:2016-09-15
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
LADO303433207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease