Individual
HEATHER AIMEE LOESCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2504 DELANEY AVENUE, WILMINGTON, NC 28403-6002
(910) 343-0626
(910) 343-8012
Mailing address
2504 DELANEY AVENUE, WILMINGTON, NC 28403-6002
(910) 343-0626
(910) 343-8012
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
048434
GA
207N00000X
Dermatology Physician
Primary
200000526
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
126AC
BCBS
NC
01
—
562276621B
CIGNA
NC
05
—
89126AC
—
NC
Enumeration date
07/20/2006
Last updated
03/12/2013
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