Individual
SHARON LOFTUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MT
Contact information
Practice address
N63W23524 SILVER SPRING DR # 4, SUSSEX, WI 53089-3833
(262) 246-8410
(262) 246-8894
Mailing address
N63W23524 SILVER SPRING DR # 4, SUSSEX, WI 53089-3833
(262) 246-8410
(262) 246-8894
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1003046
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1003046
STATE LICENSE
WI
01
—
27929900
NATIONAL CERTIFICATION BOARD #
WI
Enumeration date
05/08/2008
Last updated
05/08/2008
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