Organization · NPI-2

W.Eric Loch,m.D.,p.A.

Otolaryngology · Lake City, FL

NPI number1962739334
StatusActive
Last updated in NPPESNov 5, 2009

Details

NPI
1962739334
Entity type
Organization (NPI-2)
Legal business name
W.Eric Loch,m.D.,p.A.
Organization subpart
No
Enumeration date
Nov 5, 2009
Last updated
Nov 5, 2009

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Y00000X Otolaryngologyme102204FLYes

Practice location

4551 W Us Highway 90
Suite 101
Lake City, FL 32055-8836

Phone 386-719-9993 · Fax 386-719-4744

Mailing address

4551 W Us Highway 90
Suite101
Lake City, FL 32055-8835

Phone 386-719-9993 · Fax 386-719-4744

Authorized official

Walter Eric Loch
President
3867199993

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