Individual
MS. LORETTA LOMASTRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT, EMT-I
Contact information
Practice address
533 LOCUST ST, BARABOO, WI 53913-1125
(608) 393-5148
Mailing address
533 LOCUST ST, BARABOO, WI 53913-1125
(608) 393-5148
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
10455
WI
Other
Enumeration date
11/14/2011
Last updated
11/14/2011
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