Provider Demographics
NPI:1679743058
Name:LOFRANCO, EDUARDO KIAMCO (MD)
Entity type:Individual
Prefix:DR
First Name:EDUARDO
Middle Name:KIAMCO
Last Name:LOFRANCO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1703 BELLVIEW AVE. AT JEFFERSON ST. SW
Mailing Address - Street 2:
Mailing Address - City:ROANOKE
Mailing Address - State:VA
Mailing Address - Zip Code:24014-1850
Mailing Address - Country:US
Mailing Address - Phone:540-985-8345
Mailing Address - Fax:540-853-0976
Practice Address - Street 1:1703 BELLVIEW AVE. AT JEFFERSON ST. SW
Practice Address - Street 2:
Practice Address - City:ROANOKE
Practice Address - State:VA
Practice Address - Zip Code:24033-1850
Practice Address - Country:US
Practice Address - Phone:540-985-8345
Practice Address - Fax:540-853-0976
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-03
Last Update Date:2008-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA02868208600000X
VA208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery