Individual
DR. MARTY MARLON LOFGREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
15951 LITTLE AXE DR, NORMAN, OK 73026-9088
(405) 447-0300
(405) 701-7914
Mailing address
15951 LITTLE AXE DR, NORMAN, OK 73026-9088
(405) 447-0300
(405) 701-7914
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25993
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200173680A
—
OK
05
—
200173680B
—
OK
Enumeration date
02/03/2006
Last updated
01/13/2015
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