Individual
JANE LOOSMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
12277 DEPAUL DRIVE, SUITE 140 SOUTH, BRIDGETON, MO 63044
(314) 344-7989
(314) 735-4165
Mailing address
PO BOX 31217, SAINT LOUIS, MO 63131
(314) 872-8940
(314) 735-4165
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
104568
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
104568
STATE LICENSE
MO
Enumeration date
04/23/2009
Last updated
11/16/2010
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