Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | MD.202932 | LA |
NPI | 1083875850 |
---|---|
Provider Name | Dr. Bridget Catherine Loehn |
First Address | Lake Charles, LA 70605-2348 |
Second Address | Lake Charles, LA 70605-2348 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/06/2008 |
Last Update Date | 13/09/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1162931 | (05) | LA |