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Crystal Loose
NPI 1821406547 · on the registry since 2014
Practice
- Address
- 1705 Warren Ave
Suite 101103
Williamsport, PA 17701 - Phone
- (570) 321-2020
- Organisation at this address
- Wilkes Barre Vamc
Beaver Eyewear, Inc.
Kenneth R Durrwachter Md Pc
Susquehanna Physician Services
Susquehanna Physician ServicesInferred from a shared address, not stated in the registry. - Clinicians at this address
- 64
Registry record
- Primary taxonomy
- Surgical Physician Assistant
363AS0400X
- Licence states on file
- PA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-05-24
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Pennsylvania