Edward J Lose, MD
Medical Genetics, Clinical Genetics (M.D.) in Birmingham, AL. Individual provider (NPI-1).
NPI number1497786958
StatusActive
Last updated in NPPESFeb 23, 2021
Details
- NPI
- 1497786958
- Entity type
- Individual (NPI-1)
- Name
- Edward J Lose
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 5, 2006
- Certification date
- Feb 23, 2021
- Last updated
- Feb 23, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207SG0201X | Medical Genetics, Clinical Genetics (M.D.) | 17705 | AL | Yes |
| 207P00000X | Emergency Medicine | MD.17705 | AL | |
| 208000000X | Pediatrics | MD.17705 | AL | |
| 2080P0204X | Pediatrics, Pediatric Emergency Medicine | MD.17705 | AL |
Practice location
1600 7th Ave SBirmingham, AL 35233-1711
Phone 205-638-9100
Mailing address
1600 7th Ave SBirmingham, AL 35233-1711
Phone 205-638-9587
Other practice locations
619 19th Street South
Birmingham, AL 35233
Birmingham, AL 35233
Phone 205-934-6600
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