Individual
MIRANDA LOFGREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS LAT ATC
Contact information
Practice address
1000 E MAIN ST, DANVILLE, IN 46122-1948
(317) 745-4451
Mailing address
10398 KENSINGTON WAY, INDIANAPOLIS, IN 46234-2591
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
IN
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/24/2015
Last updated
09/05/2023
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