Provider Demographics
NPI:1265503254
Name:DOYLE, LOUISE ANNE (DO)
Entity Type:Individual
Prefix:DR
First Name:LOUISE
Middle Name:ANNE
Last Name:DOYLE
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4830 KNIGHTSBRIDGE BLVD STE G
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43214-2300
Mailing Address - Country:US
Mailing Address - Phone:614-488-8000
Mailing Address - Fax:614-488-8610
Practice Address - Street 1:4830 KNIGHTSBRIDGE BLVD STE G
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43214-2300
Practice Address - Country:US
Practice Address - Phone:614-488-8000
Practice Address - Fax:614-488-8610
Is Sole Proprietor?:No
Enumeration Date:2006-11-13
Last Update Date:2020-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH34003548207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0634086Medicaid
OH0634086Medicaid
A16534Medicare UPIN