Individual provider · Type 1 NPI

Edwin Intig Loon Jr.

Licensed Practical Nurse · Detroit, MI

NPI number 1003611633 Active

Practice location

4646 John R St
Detroit, MI 48201-1916

Mailing address

2106 Almont St
Ferndale, MI 48220-1581

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X4703108591 (MI)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1003611633

Edwin Intig Loon Jr.'s National Provider Identifier is 1003611633, issued on Feb 18, 2025. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Detroit, MI. The record was last updated on Feb 18, 2025.