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Individual

REBECCA L LOSSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
825 MANKATO AVE, STE 210, WINONA, MN 55987-4866
(507) 454-5050
(507) 454-5102
Mailing address
855 MANKATO AVE, WINONA, MN 55987-4868
(507) 454-3650
(507) 457-3392

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
41645020
WI
207Q00000X
Family Medicine Physician
Primary
42529
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
201018600
MN
Enumeration date
03/31/2006
Last updated
01/04/2012
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