Individual
LAURA MARIE DEBO LOESER
Active
Individual
LAURA MARIE DEBO LOESER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP- BC
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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