| Doctor Name: | MS. LORI D. LOOP |
| NPI Number: | 1073607545 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | R.N. |
| License Number: | 041-241125 |
| Business Practice Address: | 750 Broadway Ave E Mattoon, IL - 619384610 |
| Business Phone Number: | 2172385700 |
| Business Fax Number: | 2172385767 |
| Mailing Address: | 750 Broadway Ave E, MATTOON |
| State: | IL |
| Postal Code: | 619384610 |
| Phone Number: | 2172385700 |
| Fax Number: | 2172385767 |
| NPI Enumeration Date: | 10/02/2006 |
| NPI Last Update Date: | 03/19/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WC0400X |
| License Number: | 041-241125 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Case Management |
| Taxonomy Definition: | |