Individual
ELIZABETH DIANE LOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
200 E CHESTNUT ST BLDG SUITE303, LOUISVILLE, KY 40202
(502) 629-5552
(502) 629-3132
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 588-9490
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25249
KY
208M00000X
Hospitalist Physician
25249
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100360780
—
IN
05
—
64252497
—
KY
Enumeration date
05/16/2006
Last updated
10/23/2020
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