Provider Demographics
NPI:1265423487
Name:LOSSING, THOMAS S (MD)
Entity type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:S
Last Name:LOSSING
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1201 E OCEAN AVE
Mailing Address - Street 2:SUITE A
Mailing Address - City:LOMPOC
Mailing Address - State:CA
Mailing Address - Zip Code:93436-7082
Mailing Address - Country:US
Mailing Address - Phone:805-735-3511
Mailing Address - Fax:805-737-1774
Practice Address - Street 1:1201 E OCEAN AVE
Practice Address - Street 2:SUITE A
Practice Address - City:LOMPOC
Practice Address - State:CA
Practice Address - Zip Code:93436-7081
Practice Address - Country:US
Practice Address - Phone:805-735-3511
Practice Address - Fax:805-737-1774
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-04
Last Update Date:2010-10-26
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAG17265207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA40034Medicare UPIN
CAG17265Medicare ID - Type Unspecified