Individual
LUCY W LOOMIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD, MSPH
Contact information
Practice address
777 BANNOCK ST, MC 7782, DENVER, CO 80204-4507
(303) 436-6000
Mailing address
777 BANNOCK ST, MC 1914, DENVER, CO 80204-4507
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25746
CO
2083P0901X
Public Health & General Preventive Medicine Physician
25746
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01257468
—
CO
01
—
80173213
RAILROAD MEDICARE
CO
Enumeration date
08/07/2006
Last updated
04/01/2021
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