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Individual

LOREN GARZA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3 AUDUBON PLAZA DR STE 530, LOUISVILLE, KY 40217-1319
(502) 636-7137
(502) 636-2205
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 588-9490
(502) 272-5116

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
71010346A
IN
363LA2200X
Adult Health Nurse Practitioner
Primary
3015293
KY

Other

Enumeration date
08/05/2020
Last updated
08/02/2024
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