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Individual

DR. THOMAS A LOSURE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
3920 ST FRANCIS WAY STE 219, LAFAYETTE, IN 47905-4917
(833) 890-5176
(765) 428-5896
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(317) 528-4800
(317) 865-1479

Taxonomy

Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
02003706A
IN
207VM0101X
Maternal & Fetal Medicine Physician
036058922
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
02003706A
02003706A
IN
05
201024950
IN
Enumeration date
10/25/2006
Last updated
04/04/2025
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