Dr. Teresa Lorraine Loden
D.O. | Pediatrics | Female
Dr. Teresa Lorraine Loden, D.O. is a Houston, Missouri based Pediatric doctor with medical specialization in
General Pediatrics. Dr. Teresa Lorraine Loden is also known as
Teresa L Diebal.
Current practice location of Dr. Teresa Lorraine Loden is
1337 S Sam Houston Blvd, Houston, Missouri - 65483. She can be contacted on phone at
417-967-5435 and fax number 417-967-5503.
Dr. Teresa Lorraine Loden is a sole proprietor of her business.
NPI number (Unique professional ID) for Dr. Teresa Lorraine Loden is
1730527318 which was assigned by NPPES on 05 Jun, 2013 and it was last updated on 25 Jun, 2018.
Dr. Teresa Lorraine Loden license number is
2018008048 for Pediatrics (208000000X) in Missouri.
Dr. Teresa Lorraine Loden is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Dr. Teresa Lorraine Loden basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Dr. Teresa Lorraine Loden |
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| Other Name : | Teresa L Diebal |
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| Credential : | D.O. |
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| Gender : | Female |
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Business Address:
Dr. Teresa Lorraine Loden address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 1337 S Sam Houston Blvd
Houston, MO, 65483
United States |
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| Phone Number : | 417-967-5435 |
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| Fax Number : | 417-967-5503 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1730527318 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 05 Jun, 2013 |
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| Last Updated On : | 25 Jun, 2018 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Teresa Lorraine Loden are as mentioned. Primary taxonomy code for Dr. Teresa Lorraine Loden, D.O. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 2018008048 | MO |
| 208000000X | Pediatrics | No | 1476 | NE |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Teresa Lorraine Loden such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 200053618 | MEDICAID | MO | |
| 26D0889777 | Other | MO | CLIA |
Other Practice Locations:
| Practice Address | City, State | Phone Number |
|---|
4229 N 90TH ST,
OMAHA, NE, 68134-4136
United States | OMAHA, NE | 402-401-6000 |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 1337 S Sam Houston Blvd
Houston, MO, 65483-2046
United States |
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| Phone Number : | 417-967-5435 |
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| Fax Number : | 417-967-5503 |
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Business Location:
Patients can refer following map for directions to
Dr. Teresa Lorraine Loden practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.