Individual
MR. SCOTT A LOOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
111 W 2ND ST, APT. 8, PANA, IL 62557-1364
(217) 562-7202
Mailing address
111 W 2ND ST, APT. 8, PANA, IL 62557-1364
(217) 562-7202
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
05/26/2008
Last updated
05/26/2008
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