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Individual

MR. THOMAS ALLEN LOFTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PTA

Contact information

Practice address
36291 W PINE GROVE CT, PRAIRIEVILLE, LA 70769-3461
(225) 287-8195
(225) 677-8665
Mailing address
36291 W PINE GROVE CT, PRAIRIEVILLE, LA 70769-3461
(225) 287-8195
(225) 677-8665

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A5168
LA
174400000X
Specialist
PTA4191
MS

Other

Enumeration date
08/28/2007
Last updated
08/28/2007
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