Individual
STEPHANIE RENEE LOFTUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
5757 HARPER DR NE, ALBUQUERQUE, NM 87109-3566
(505) 888-5757
(505) 213-0103
Mailing address
8801 HORIZON BLVD NE STE 360, ALBUQUERQUE, NM 87113-1563
(505) 828-4923
(505) 210-0103
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPT734
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
15170527
—
NM
01
—
2D5717
MEDICARE PTAN
NM
Enumeration date
09/01/2016
Last updated
10/22/2024
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