Individual
LAURIE A LOEVNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3400 SPRUCE ST, GROUND FLOOR DULLES, PHILADELPHIA, PA 19104
(215) 662-3020
Mailing address
3400 SPRUCE ST, GROUND FLOOR DULLES, PHILADELPHIA, PA 19104-4206
(215) 662-3020
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
Primary
MD050390L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0015227990002
—
PA
Enumeration date
06/25/2006
Last updated
08/24/2015
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