MEDICARE: JEREMY LOJA

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
1	363L00000X	Nurse Practitioner	882077	NV

General Provider Information

NPI Number	:	1265266761
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JEREMY LOJA

Provider Business Mailing Address
First Line	:	1081 S CIMARRON RD STE B5
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89145-2454
Country	:	US
Telephone Number	:	702-327-0912
Fax Number	:	702-749-6393

Provider Business Practice Location Address
First Line	:	1081 S CIMARRON RD STE B5
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89145-2454
Country	:	US
Telephone Number	:	702-749-8885
Fax Number	:	702-749-6393

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/27/2024
Last Update Date	:	07/05/2025

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Directions to “ JEREMY LOJA ” Practice Location

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