Individual
LORI LOOMIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
801 BROADWAY N, FARGO, ND 58102-3641
(701) 729-8163
Mailing address
126 2ND AVE E, WEST FARGO, ND 58078-1813
(701) 729-8163
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R33468
ND
Other
Enumeration date
07/23/2017
Last updated
04/29/2022
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