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General NPI Number Information
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NPI Number | 1598999641
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Entity Type | Organization
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Legal Business Name | LOFTON CONSULTING, INC.
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Dates
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Enumeration Date | 05/04/2009
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Last Update Date | 05/04/2009
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Provider Practice Location Address
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Address Line | 1 EMBARCADERO CTR SUITE 500
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City | SAN FRANCISCO
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State | CA
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Zip | 94111-3628
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Country | US
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Telephone | 415-652-2126
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2843
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City | SAUSALITO
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State | CA
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Zip | 94966-2843
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Country | US
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Telephone | 415-652-2126
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Fax |
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Authorized Official
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Title or Position | CLINICAL PSYCHOLOGIST
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Name | DR. LAWANA RENE' LOFTON
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Credential | PSY.D.
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Telephone | 415-652-2126
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State | CA
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