Individual
SUSAN KAY LOSTETTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
13400 E SHEA BLVD, SCOTTSDALE, AZ 85259-5452
(480) 301-8000
Mailing address
13400 E SHEA BLVD, SCOTTSDALE, AZ 85259-5452
(480) 301-8000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2418
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
693429
—
AZ
Enumeration date
01/12/2007
Last updated
02/11/2017
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