Individual
MEGHAN LUOMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
248 FLANDERS RD, NIANTIC, CT 06357-1264
(860) 739-5426
Mailing address
2210 ZEEB RD, DEXTER, MI 48130-9714
(734) 660-6924
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6780
STATE OF CONNECTICUT DEPARTMENT OF PUBLIC HEALTH
CT
Enumeration date
08/27/2021
Last updated
11/04/2024
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