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NPI Code Detail

MEDICARE: DIANNE M LOOMIS FNP

MEDICARE: DIANNE M LOOMIS FNP
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
1207Q00000XFamily Medicine PhysicianF331078NY

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 : 1285628149
Entity Type Code : Individual
Provider Name (Legal Business Name) : DIANNE M LOOMIS FNP
Provider Business Mailing Address
First Line : 430 NIAGARA ST
Second Line : UBMD AT LAKESHORE
City : BUFFALO
State : NY
Zip : 14201-1886
Country : US
Telephone Number : 716-856-2587
Fax Number :
Provider Business Practice Location Address
First Line : 430 NIAGARA ST
Second Line : UBMD AT LAKESHORE
City : BUFFALO
State : NY
Zip : 14201-1886
Country : US
Telephone Number : 716-856-2587
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/07/2005
Last Update Date : 07/11/2014

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