Lofstrom, David Michael

Lofstrom, David Michael is an individual health care provider with primary practice located at 707 South Vienna , Ruston LA 71270-5845. He recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is his primary health care specialty. Lofstrom, David Michael can be contacted via phone (318) 251-8001.

Contact Information

Primary practice address
707 South Vienna Ruston LA 71270-5845
Phone: (318) 251-8001
Fax: (318) 699-8845
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X RN073531 Louisiana
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X RN073531 Louisiana
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN073531-AP03121 Louisiana

Profile Details

NPI number 1053384495
LBN Legal business name Lofstrom, David Michael
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 8th, 2006
Last updated Aug 8th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053384495 NPPES
Louisiana MEDICAID 1698318

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