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Individual

DR. JAMES W LOFGREN

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
310 KENTUCKY AVE, SUITE 2, WEST PLAINS, MO 65755-2075
(417) 255-9800
(417) 257-2911
Mailing address
5042 CR 8940, WEST PLAINS, MO 65775-2075
(417) 255-9800
(417) 257-2911

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
015763
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
176064
BCBS
MO
01
730469
UNITED CONCORDIA
MO
Enumeration date
06/15/2006
Last updated
07/08/2007
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