Individual
MRS. CHARLOTTE L LOFGREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6254 LAWVILLE RD, WOLCOTT, NY 14590-9792
(315) 594-9444
(315) 594-9276
Mailing address
100 KINGS HWY S, ROCHESTER, NY 14617-5504
(315) 594-9444
(315) 594-9276
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
305192
NY
208000000X
Pediatrics Physician
4301090376
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1154529436
—
MI
Enumeration date
07/06/2007
Last updated
06/04/2020
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