Individual
DANIEL J LOFGREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS LP
Contact information
Practice address
10574 WILLOW RIVER RD, ORR, MN 55771-9055
(218) 780-2992
Mailing address
10574 WILLOW RIVER RD, ORR, MN 55771-9055
(218) 780-2992
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LP2977
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
667518200
—
MN
Enumeration date
09/26/2006
Last updated
02/22/2014
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