Individual
DR. ADRIENNE L LOSTETTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3030 CHILDREN'S WAY, STE 112, SAN DIEGO, CA 92123-4226
(325) 677-2801
(325) 677-9110
Mailing address
3860 CALLE FORTUNADA, STE 200, SAN DIEGO, CA 92123-4802
(858) 502-1135
(858) 636-4319
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
K2953
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
134270
CHIP
TX
01
—
145585100
FIRSTCARE HMO
TX
05
—
174705701
—
TX
01
—
8BQ021
BCBS
TX
01
—
8S7270
BCBS
TX
Enumeration date
08/13/2006
Last updated
01/30/2015
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