Lofgren, Marty Marlon
Lofgren, Marty Marlon is an individual health care provider with primary practice located at 15951 Little Axe Dr , Norman OK 73026-9088. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Lofgren, Marty Marlon can be contacted via phone (405) 447-0300.Contact Information
Primary practice address
15951 Little Axe Dr
Norman OK 73026-9088
Phone: (405) 447-0300
Fax: (405) 701-7914
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 25993 | Oklahoma |
Profile Details
| NPI number | 1861464752 |
|---|---|
| LBN Legal business name | Lofgren, Marty Marlon |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 3rd, 2006 |
| Last updated | Jan 13th, 2015 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1861464752 | NPPES |
| Oklahoma | MEDICAID | 200173680B | |
| Oklahoma | MEDICAID | 200173680A |
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