Individual
LORETTA L. BACA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
302 S JEFFERS ST, NORTH PLATTE, NE 69101-5349
(308) 534-6687
(308) 534-1874
Mailing address
302 S JEFFERS ST, NORTH PLATTE, NE 69101-5349
(308) 534-6687
(308) 534-1874
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
19678
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47-0822695-13
—
NE
Enumeration date
06/01/2005
Last updated
11/03/2009
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