# CARLY M. LOHSTRETER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1205264108
- **Gender:** F
- **Credential:** PA-C

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | 11452 | MN | — |
| 363A00000X | Physician Assistant | 52399 | CA | — |
| 363A00000X | Physician Assistant | PAC0751 | ND | Yes |

## Other

- **Enumeration date:** 10/31/2013
- **Last updated:** 11/15/2018