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Individual

DAVID J LOFGREN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
(608) 782-7300
Mailing address
18601 LINCOLN ST, WHITEHALL, WI 54773-8605
(715) 538-4361

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
24201
WI
207Q00000X
Family Medicine Physician
30684
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0122268
MEDICA MN
01
105859
UCARE MN
05
242383900
MN
01
380G81O
BCBS MN
01
41084933956001C228
CHAMPUS
01
905632
AMERICAS PPO MN
01
HP19586
HEALTH PARTNERS MN
01
NA2951015704
PREFERRED ONE MN
Enumeration date
07/07/2005
Last updated
07/21/2022
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