Individual
DR. DALTON LOHSANDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
308 S CHURCH ST, FAYETTE, MO 65248-1243
(660) 248-2217
(660) 248-3450
Mailing address
308 S CHURCH ST, FAYETTE, MO 65248-1243
(660) 248-2217
(660) 248-3450
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
2020015982
MO
207Q00000X
Family Medicine Physician
Primary
2022028860
MO
Other
Enumeration date
06/22/2020
Last updated
01/11/2023
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