Provider Demographics
NPI:1417134586
Name:LOOBY, SARA ELIZABETH DOLAN (NURSE PRACTITIONER)
Entity Type:Individual
Prefix:MRS
First Name:SARA
Middle Name:ELIZABETH DOLAN
Last Name:LOOBY
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Gender:F
Credentials:NURSE PRACTITIONER
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Mailing Address - Street 1:55 FRUIT ST
Mailing Address - Street 2:LONG 207 MASSACHUSETTS GENERAL HOSPITAL
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02114-2621
Mailing Address - Country:US
Mailing Address - Phone:617-726-1423
Mailing Address - Fax:617-724-8998
Practice Address - Street 1:55 FRUIT ST
Practice Address - Street 2:LONG 207 MASSACHUSETTS GENERAL HOSPITAL
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02114-2621
Practice Address - Country:US
Practice Address - Phone:617-726-1423
Practice Address - Fax:617-724-8998
Is Sole Proprietor?:No
Enumeration Date:2008-01-30
Last Update Date:2008-01-30
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Provider Licenses
StateLicense IDTaxonomies
MA217465363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health