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NPI Code Detail

MEDICARE: DR. BRIDGET CATHERINE LOEHN M.D.

MEDICARE:  DR. BRIDGET CATHERINE LOEHN  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training ProgramLA
2207Y00000XOtolaryngology PhysicianMD.202932LA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1083875850
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BRIDGET CATHERINE LOEHN M.D.
Provider Business Mailing Address
First Line : 1615 WOLF CIR
Second Line :
City : LAKE CHARLES
State : LA
Zip : 70605-2348
Country : US
Telephone Number : 337-312-8258
Fax Number : 337-312-6708
Provider Business Practice Location Address
First Line : 1615 WOLF CIR
Second Line :
City : LAKE CHARLES
State : LA
Zip : 70605-2348
Country : US
Telephone Number : 337-419-1960
Fax Number : 337-419-1961
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/24/2008
Last Update Date : 09/13/2021

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