Individual
DIANNE M LOOMIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
430 NIAGARA ST, UBMD AT LAKESHORE, BUFFALO, NY 14201-1886
(716) 856-2587
Mailing address
430 NIAGARA ST, UBMD AT LAKESHORE, BUFFALO, NY 14201-1886
(716) 856-2587
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
F331078
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00384643
—
NY
Enumeration date
09/07/2005
Last updated
07/11/2014
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