Provider Demographics
NPI:1215207303
Name:LOUGHEED, DENISE M (LMT)
Entity Type:Individual
Prefix:
First Name:DENISE
Middle Name:M
Last Name:LOUGHEED
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:MR
Other - First Name:PAUL
Other - Middle Name:
Other - Last Name:SCHWEIZER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RPT
Mailing Address - Street 1:40 TREMONT CT
Mailing Address - Street 2:COTSWOLD HILLS
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19711-1901
Mailing Address - Country:US
Mailing Address - Phone:302-229-1986
Mailing Address - Fax:302-994-1233
Practice Address - Street 1:100 VALLEY CENTER RD
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19808-2950
Practice Address - Country:US
Practice Address - Phone:302-229-1986
Practice Address - Fax:302-994-1233
Is Sole Proprietor?:No
Enumeration Date:2012-01-05
Last Update Date:2012-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DE535174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist