| Katherine Lillie Lofberg, FNP-C | |
|
500 W Grant St, Lake City, MN 55041-1143 | |
| (651) 345-3321 | |
| (651) 345-1151 |
| Full Name | Katherine Lillie Lofberg |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Location | 500 W Grant St, Lake City, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134105703 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | R1070084 (Minnesota) | Secondary |
| 363L00000X | Nurse Practitioner | 56 (Minnesota) | Primary |
| Entity Name | Mayo Clinic Health System-lake City |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164463659 PECOS PAC ID: 1951213487 Enrollment ID: O20031104000095 |
| Entity Name | Mayo Clinic Health System-lake City |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1538113022 PECOS PAC ID: 1951213487 Enrollment ID: O20070711000490 |
| Mailing Address | Practice Location Address |
|---|---|
| Katherine Lillie Lofberg, FNP-C 500 W Grant St, Lake City, MN 55041-1143 Ph: (651) 345-3321 | Katherine Lillie Lofberg, FNP-C 500 W Grant St, Lake City, MN 55041-1143 Ph: (651) 345-3321 |
Lisa Jolee Wimmer, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 500 W Grant St, Lake City, MN 55041 Phone: 651-345-3321 | |
Deborah Jane Anderson, ANP,C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 500 W Grant St, Lake City, MN 55041 Phone: 651-345-3321 Fax: 651-345-1151 | |
Patricia Elena Servin-hughes, CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 500 W Grant St, Lake City, MN 55041 Phone: 651-345-3321 | |
Laura Anthony O'rourke, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 500 West Grant Street, Lake City, MN 55041 Phone: 651-345-3321 | |
Kayla Dale Dascher, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 500 W Grant St, Lake City, MN 55041 Phone: 651-345-3321 |