Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | MT186556 | PA |
N | 208600000X | Surgeon | MT186556 | PA |
Y | 2086S0120X | Pediatric Surgery | MD436833 | PA |
N | 2086S0120X | Pediatric Surgery | ME 116285 | FL |
NPI | 1003018946 |
---|---|
Provider Name | Dr. Tara Jean Loux |
First Address | Danville, PA 17822-4903 |
Second Address | Danville, PA 17822-6307 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/06/2007 |
Last Update Date | 11/11/2020 |