Individual
LANA LOOMIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, LP
Contact information
Practice address
992 INWOOD AVE N, OAKDALE, MN 55128-6625
(612) 842-9814
Mailing address
220 E RIVER PKWY UNIT 427, CHAMPLIN, MN 55316-1426
(763) 226-4669
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
LP7081
MN
Other
Enumeration date
09/17/2024
Last updated
09/17/2024
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