Individual
LAURA LOEBEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1530 E REPUBLIC RD, SPRINGFIELD, MO 65804-6530
(417) 269-1362
(417) 269-1372
Mailing address
PO BOX 802843, KANSAS CITY, MO 64180-2843
(417) 730-6430
(417) 269-7567
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2019007966
MO
Other
Enumeration date
03/13/2019
Last updated
02/20/2023
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