Individual
MARYANN RUTH LOFTUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDE
Contact information
Practice address
600 W 98TH ST, SUITE 20, BLOOMINGTON, MN 55420-4773
(952) 885-6150
Mailing address
4215 EAU CLAIRE TRL NE, PRIOR LAKE, MN 55372-1731
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
R0603012
MN
Other
Enumeration date
01/23/2007
Last updated
03/19/2010
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