Individual
LEE MICHAEL LOFGREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
160 S 4TH ST, LANDER, WY 82520-3116
(307) 332-6148
(307) 332-5157
Mailing address
160 S 4TH ST, LANDER, WY 82520-3116
(307) 332-6148
(307) 332-5157
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
490
WY
111N00000X
Chiropractor
557
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W307327
MEDICARE PROVIDER #
WY
Enumeration date
05/13/2010
Last updated
05/13/2010
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