Most Relevant Information
Provider Data
| NPI Number: | 1003479015 |
| Provider Name: | KATHERINE MELISSA LUCAS JOSTAD PA-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363A00000X |
| Specialty: | Physician Assistant |
| License Number: | 13061 |
Most Important Dates
| Enumeration Date: | 04/16/2019 |
| Last Updated: | 04/04/2024 |
Provider Practice Location
200 1ST ST SW
ROCHESTER
MN
559050001
Practice Location Phone/Fax
| Phone: | 5072842511 |
| Fax: |
Provider Mailing Location
200 1ST ST SW
ROCHESTER
MN
559050001
Provider Mailing Phone/Fax
| Phone: | 5072842511 |
| Fax: |