Stacey Lynn Lofstad, ATC

NPI #1497867188 in Copiague, New York

Provider Information

NPI Number
1497867188
Entity Type
Individual
Name
Stacey Lynn Lofstad, ATC
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Specialist/Technologist - Athletic Trainer
Credential
ATC
Enumeration Date
Aug 31, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
14 LOCUST PL
ZIP Code
11726-3509
Phone
(631) 608-1622

Specialties & Taxonomy Codes

Specialty
Specialist/Technologist - Athletic TrainerAthletic Trainer

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