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Individual

LOREN G. LONGENECKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
250 MERCY DR, DUBUQUE, IA 52001-7320
(563) 589-8000
Mailing address
2120 MESSINA CT, ASBURY, IA 52002-9557
(214) 502-2101

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
036160751
IL
2085R0202X
Diagnostic Radiology Physician
27506
NV
2085R0202X
Diagnostic Radiology Physician
51244
AL
2085R0202X
Diagnostic Radiology Physician
C3945
KY
2085R0202X
Diagnostic Radiology Physician
Primary
MD-50032
IA
2085R0202X
Diagnostic Radiology Physician
R1815
TX

Other

Enumeration date
05/02/2011
Last updated
05/19/2025
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