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Individual

LOUIS SAMUELS LIBBY

Active
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Individual

LOUIS SAMUELS LIBBY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
MD14297
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1003912
WA
05
124487
OR
Enumeration date
08/22/2005
Last updated
11/16/2021
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