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Individual
LOREN C STANDLEE
Active
Individual
LOREN C STANDLEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
28090
NE
208D00000X
General Practice Physician
28090
NE
208D00000X
General Practice Physician
Primary
S8657
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
NULL
Other
Enumeration date
04/03/2013
Last updated
12/18/2022
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