Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | ME105489 | FL |
N | 207YP0228X | Pediatric Otolaryngology | ME105489 | FL |
N | 207YS0123X | Facial Plastic Surgeon | ME105489 | FL |
N | 207YX0007X | Plastic Surgeon (Head & Neck) | ME105489 | FL |
N | 207YX0905X | Otolaryngology/Facial Plastic Surgery | ME105489 | FL |
NPI | 1356658595 |
---|---|
Provider Name | Deborah Aelise Loney |
First Address | West Palm Beach, FL 33411-6419 |
Second Address | West Palm Beach, FL 33411-6419 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/09/2010 |
Last Update Date | 09/09/2010 |