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Individual

MRS. DEBORAH G LOMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CPNP PHD

Contact information

Practice address
5471 DR MARTIN LUTHER KING DR, SAINT LOUIS, MO 63112-4265
(314) 367-5820
(314) 367-6326
Mailing address
5471 DR MARTIN LUTHER KING DR, SAINT LOUIS, MO 63112-4265
(314) 367-5820
(314) 367-6326

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
059430
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
428157707
MO
Enumeration date
08/09/2005
Last updated
10/06/2011
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