Individual
DAKOTA LOOSEMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
800 EAST MCNEESE STREET, LAKE CHARLES, LA 70607
(337) 475-5279
Mailing address
800 EAST MCNEESE STREET, LAKE CHARLES, LA 70607
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/30/2020
Last updated
07/30/2020
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