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Individual

LOLA J LOEB

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
5471 DR. MARTIN LUTHER KING DR., ST. LOUIS, MO 63112-4265
(314) 367-5820
(314) 367-6326
Mailing address
5471 DR. MARTIN LUTHER KING DR., ST. LOUIS, MO 63112-4265
(314) 367-5820
(314) 367-6326

Taxonomy

Speciality
Code
Description
License number
State
207VX0000X
Obstetrics Physician
Primary
20100003513
MO

Other

Enumeration date
10/31/2007
Last updated
03/03/2010
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