Provider Demographics
NPI:1851606156
Name:SENS, LORETTA SUSAN (RT,RDMS,RDCS,RVT,BA)
Entity Type:Individual
Prefix:MS
First Name:LORETTA
Middle Name:SUSAN
Last Name:SENS
Suffix:
Gender:F
Credentials:RT,RDMS,RDCS,RVT,BA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7843 CAUSEWAY BLVD N
Mailing Address - Street 2:
Mailing Address - City:SAINT PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33707-1005
Mailing Address - Country:US
Mailing Address - Phone:727-347-0946
Mailing Address - Fax:
Practice Address - Street 1:7843 CAUSEWAY BLVD N
Practice Address - Street 2:
Practice Address - City:SAINT PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33707-1005
Practice Address - Country:US
Practice Address - Phone:727-347-0946
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-08-11
Last Update Date:2010-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL10615246XS1301X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246XS1301XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist CardiovascularSonography