Individual
STACEY LOESCHNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2401 W BELVEDERE AVE, BALTIMORE, MD 21215-5216
(410) 601-5838
(410) 601-9744
Mailing address
68 S SERVICE RD, SUITE 350, MELVILLE, NY 11747-2354
(516) 945-3347
(516) 945-3131
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R179134
MD
390200000X
Student in an Organized Health Care Education/Training Program
R179134
MD
Other
Enumeration date
05/08/2014
Last updated
11/28/2018
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