DAVID MICHAEL LOFSTROM

RUSTON, LA
NPI1053384495
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: LA  RN073531-AP03121)
Additional Taxonomies363AM0700X Physician Assistant, Medical
(Licence: LA  RN073531)
363AS0400X Physician Assistant, Surgical
(Licence: LA  RN073531)
Enumeration Date2006-02-08
Last Update Date2012-08-08
Business Address
Mr. DAVID MICHAEL LOFSTROM A.P.R.N.
707 SOUTH VIENNA
RUSTON, LA 71270-5845
Phone number: 318-251-8001
Mailing Address
Mr. DAVID MICHAEL LOFSTROM A.P.R.N.
1809 NORTHPOINTE LANE SUITE 203
RUSTON, LA 71270-3852
Phone number: 318-251-8001
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