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Individual
SUMMER DAWN LOFTON - DERRICK
Active
Individual
SUMMER DAWN LOFTON - DERRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
C.R.N.A.
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
563877
NY
367500000X
Certified Registered Nurse Anesthetist
92518
NY
Other
Enumeration date
11/15/2012
Last updated
09/10/2019
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