Individual
ELIZABETH C LOSTETTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
731 BIELENBERG DR STE 107, WOODBURY, MN 55125-1701
(651) 730-7771
(651) 730-7772
Mailing address
1170 DAYTON AVE, SAINT PAUL, MN 55104-6403
(651) 491-4293
(651) 730-7772
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
8149
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
650002717
MEDICARE PTAN
MN
Enumeration date
07/21/2008
Last updated
08/26/2015
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