Loaiza, Luz Stella
Loaiza, Luz Stella is an individual health care provider with primary practice located at 47 Pheasant St , West Roxbury MA 02132-3011. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Loaiza, Luz Stella can be contacted via phone (617) 325-9163.Contact Information
Primary practice address
47 Pheasant St
West Roxbury MA 02132-3011
Phone: (617) 325-9163
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X |
Profile Details
| NPI number | 1790993780 |
|---|---|
| LBN Legal business name | Loaiza, Luz Stella |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 21st, 2007 |
| Last updated | Jul 8th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1790993780 | NPPES |
| Massachusetts | MEDICAID | 1309587 |
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