Individual
JOHN J LORETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3231 S NATIONAL AVE, SPRINGFIELD, MO 65807-7304
(417) 841-0186
Mailing address
3045 S NATIONAL AVE STE 110, SPRINGFIELD, MO 65804-4268
(417) 888-6790
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
R2G72
MO
2083X0100X
Occupational Medicine Physician
R2G72
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
208003418
—
MO
Enumeration date
08/22/2006
Last updated
08/28/2019
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