Individual
ANN MARIE LOFGREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
432 S ALASKA ST, PALMER, AK 99645-6338
(907) 414-5803
(888) 241-1318
Mailing address
PO BOX 879382, WASILLA, AK 99687-9382
(907) 414-5803
(888) 241-1318
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
107273
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12503896
CAQH
AK
Enumeration date
11/28/2011
Last updated
05/10/2018
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