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Individual

SAMUEL LOFGREN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
20 S 3RD ST STE 210TH, COLUMBUS, OH 43215-4206
(629) 201-0698
Mailing address
3853 APRIL DR, UNIONTOWN, OH 44685-7939
(330) 212-0790

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
35083681I
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000356180
ANTHEM
OH
05
2475174
OH
01
341779226006
MED MUTUAL OF OH
OH
01
341779226SL
SUMMACARE
OH
01
61641
UNITED HEALTHCARE
OH
01
P00222417
RR MEDICARE
OH
Enumeration date
05/22/2006
Last updated
09/20/2021
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