Individual
LORETTA VANHAASTEREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
532 W NEW HOPE RD, APT C6, GOLDSBORO, NC 27534-7567
(828) 442-4520
Mailing address
532 W NEW HOPE RD, APT C6, GOLDSBORO, NC 27534-7567
(828) 442-4520
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
9800409
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1193618
CIGNA
NC
01
—
7300933
AETNA
NC
05
—
891113H
—
NC
Enumeration date
03/13/2007
Last updated
03/19/2013
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