LOLA J LOEB


Address: 5471 Dr. Martin Luther King Dr., St. Louis, MO 63112-4265
Phone: 3143675820

LOLA J LOEB (NPI# 1194904755) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1194904755
Entity Type Individual
Full Name LOLA J LOEB
Credential MD
Practice Address 5471 Dr. Martin Luther King Dr.
St. Louis
MO 63112-4265
Practice Telephone 3143675820
Practice Fax Number 3143676326
Mailing Telephone 3143675820
Mailing Fax Number 3143676326
Enumeration Date 2007-10-31
Last Update Date 2010-03-03
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207VX0000X Obstetrics & Gynecology
Specialization: Obstetrics
20100003513 MO Allopathic & Osteopathic Physicians

Office Location

Street Address 5471 DR. MARTIN LUTHER KING DR.
City ST. LOUIS
State MO
Zip Code 63112-4265

Providers in the same location

NPI Name Taxonomy Address Enumeration
1689809329 Carolyn Bowers Licensed Practical Nurse 5471 Dr. Martin Luther King Dr., St. Louis, MO 63112-4265 2009-05-26
1154555605 Nellie Smith Licensed Practical Nurse 5471 Dr. Martin Luther King Dr., St. Louis, MO 63112-4265 2009-05-13
1710123153 Gloria Jean Miner Licensed Practical Nurse 5471 Dr. Martin Luther King Dr., St. Louis, MO 63112-4265 2009-01-06
1700022142 Karrison Mone't Barfield Licensed Practical Nurse 5471 Dr. Martin Luther King Dr., St. Louis, MO 63112-4265 2009-01-06
1699927541 Zainab Bimpe Oyebamiji Registered Nurse 5471 Dr. Martin Luther King Dr., St. Louis, MO 63112-4265 2008-10-22
1548426778 Lisa Lynette Noldon Licensed Practical Nurse 5471 Dr. Martin Luther King Dr., St. Louis, MO 63112-4265 2008-08-07

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NPI Name Taxonomy Address Enumeration
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1326457177 Clare Marie Salley Speech-Language Pathologist 5673 Waterman Blvd, Unit 31, St Louis, MO 63112 2014-08-06
1386999324 Family Love Adult Health Care Center, LLC Clinic/Center 286 Debaliviere Avenue, St. Louis, MO 63112 2012-07-16
1003133893 William Richard Humphrey II Chiropractor 5615 Pershing, Suite 22, St. Louis, MO 63112 2010-05-03
1558688408 Courtney Lynne Luster Counselor 5647 Delmar Blvd Ste 226, Saint Louis, MO 63112 2010-04-30
1134446602 Donald Trevor Cross Psychologist #7 Beverly Place, St. Louis, MO 63112 2010-04-23
1649507328 Vikram Choudhary Prosthetist 6126 Washington Blvd, # 201, St. Louis, MO 63112 2009-11-17
1992930325 Kelly Brook Hogan Social Worker 5355 Delmar, Saint Louis, MO 63112 2009-05-29
1942449194 Annie Malone Children and Family Service Center Respite Care 5355 Page Avenue, St. Louis, MO 63112 2009-02-11
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Taxonomy Information

Taxonomy Code 207VX0000X
Grouping Allopathic & Osteopathic Physicians
Classification Obstetrics & Gynecology
Specialization Obstetrics

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1649833088 Blooms Birth Center Obstetrics & Gynecology 5523 N Farmer Branch Rd, Ozark, MO 65721-5315 2019-04-22
1780149336 Holistic Family Medicine and Obstetrics LLC Obstetrics & Gynecology 102 E Washington St, Marshall, MO 65340-2146 2019-02-07
1578062436 Regina Beth Kizer Obstetrics & Gynecology 1901 S Ventura Ave Ste B, Springfield, MO 65804-2700 2018-02-06
1053844282 Saint Francis Medical Center Obstetrics & Gynecology Rr 4 #4515, Piedmont, MO 63957-9417 2017-04-05
1972854032 West County Obgyn Specialists, PC Obstetrics & Gynecology 621 S New Ballas Rd Ste 75b, Saint Louis, MO 63141-8251 2012-09-28
1316210404 Carrisann Tennessee Woods Obstetrics & Gynecology 525 Branson Landing Blvd Ste 408, Branson, MO 65616 2012-02-20
1265663348 John F Medler Obstetrics & Gynecology 171 Valley Vue Cr., Saint Albans, MO 63073-0288 2009-08-06
1295842342 Generoso Guzman Obstetrics & Gynecology 701 E Lincoln St, Hayti, MO 63851-1738 2006-08-24
1407869050 Debra L Schaeffergrime Obstetrics & Gynecology 322 Woodlawn Terrace Ct, Ballwin, MO 63021-8336 2006-08-14
1003878141 Gerald Wayne Englund Obstetrics & Gynecology 1002 Mc Intosh Cir, Ste. 3, Joplin, MO 64804-3642 2006-04-04
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Competitor

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City ST. LOUIS
Zip Code 63112

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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