Individual provider · Type 1 NPI

Mark Lofthouse

Student in an Organized Health Care Education/Training Program · Dekalb, IL

NPI number 1952770489 Active

Practice location

814 Dawn Ct
Dekalb, IL 60115-4008

Call (815) 501-1405 Map

Specialties and licenses

TaxonomyCodeLicense
Athletic Trainer 2255A2300XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1952770489

Mark Lofthouse's National Provider Identifier is 1952770489, issued on Sep 15, 2015. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Dekalb, IL. The record was last updated on Sep 15, 2015.