Individual
DR. TARA JEAN LOUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
MT186556
PA
2086S0120X
Pediatric Surgery Physician
Primary
MD436833
PA
2086S0120X
Pediatric Surgery Physician
ME 116285
FL
Other
Enumeration date
06/04/2007
Last updated
05/05/2022
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