Individual
JOANNE LOUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
107 AVENUE N, MATAMORAS, PA 18336-1417
(570) 491-4612
(570) 491-4001
Mailing address
107 AVENUE N, MATAMORAS, PA 18336-1417
(570) 491-4612
(570) 491-4001
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
454683
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02228302
—
NY
Enumeration date
04/11/2008
Last updated
04/11/2008
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