Individual
LESLIE G LOFGREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2251 CONNECTICUT AVE S, SARTELL, MN 56377-2486
(320) 253-5220
(320) 203-2113
Mailing address
2251 CONNECTICUT AVE S, SARTELL, MN 56377-2486
(320) 253-5220
(320) 203-2113
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
27162
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
519268400
—
MN
Enumeration date
03/29/2006
Last updated
12/02/2015
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