Individual
MICHELLE LOFWALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
845 ANGLIANA AVE, LEXINGTON, KY 40508-3146
(859) 323-9321
(859) 257-5232
Mailing address
845 ANGLIANA AVE, LEXINGTON, KY 40508-3146
(859) 323-9321
(859) 257-5232
Taxonomy
Speciality
Code
Description
License number
State
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
39957
KY
2084P0800X
Psychiatry Physician
Primary
39957
KY
2084P0800X
Psychiatry Physician
D57913
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
405047900
—
MD
Enumeration date
06/28/2006
Last updated
03/26/2019
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