Lofwall, Michelle

Lofwall, Michelle is an individual health care provider with primary practice located at 845 Angliana Ave , Lexington KY 40508-3146. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is her primary health care specialty. Lofwall, Michelle can be contacted via phone (859) 323-9321.

Contact Information

Primary practice address
845 Angliana Ave Lexington KY 40508-3146
Fax: (859) 257-5232
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Addiction Medicine 2084A0401X 39957 Kentucky
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X D57913 Maryland
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 39957 Kentucky

Profile Details

NPI number 1437186863
LBN Legal business name Lofwall, Michelle
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2006
Last updated Mar 26th, 2019 - about 6 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1437186863 NPPES
Maryland MEDICAID 405047900

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