Individual
JENNIFER L LOOMIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8383 W ALAMEDA AVE, LAKEWOOD, CO 80226-3007
(303) 239-7539
Mailing address
12027 BLACKTAIL MTN, LITTLETON, CO 80127-3236
(303) 761-3024
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
166325
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
012403
KAISER-COMMERCIAL NUMBER
—
Enumeration date
02/27/2007
Last updated
07/08/2007
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