Individual
DR. LOREN ANN NALLU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3535 SOUTHERN BLVD, KETTERING, OH 45429-1221
(937) 752-2304
(937) 522-7620
Mailing address
267 GRANT ST, BRIDGEPORT, CT 06610-2805
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
285012
NY
2080N0001X
Neonatal-Perinatal Medicine Physician
055460
CT
2080N0001X
Neonatal-Perinatal Medicine Physician
285012
NY
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
35.131500
OH
Other
Enumeration date
05/10/2010
Last updated
10/31/2018
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