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Individual

LAURA MARIE DEBO LOESER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP- BC

Contact information

Practice address
180 N MICHIGAN AVE, 1605, CHICAGO, IL 60601-7401
(312) 201-1234
Mailing address
180 N MICHIGAN AVE, 1605, CHICAGO, IL 60601-7401
(312) 201-1234

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041.377186
IL
363LF0000X
Family Nurse Practitioner
Primary
209.013658
IL

Other

Enumeration date
02/10/2016
Last updated
09/12/2019
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