Individual
ELISA LOFGREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
833 E 9400 S, SANDY, UT 84094-3655
(801) 566-2556
Mailing address
2066 E MICHIGAN AVE, SALT LAKE CITY, UT 84108-1308
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/18/2022
Last updated
05/18/2022
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