| Provider / Organization | NPI | Date Certified |
|---|---|---|
| MICHAEL LOFGREN | 1104099241 | 2023-11-10 |
Michael S Lofgren Jr. [M] graduated in 2003 from Eastern Virginia Medical School and primarily specializes in Plastic And Reconstructive Surgery.
Michael Lofgren is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1104099241. Registration indicates Michael Lofgren is a provider of services with a specialization in Allopathic & Osteopathic Physicians, Plastic Surgery (Plastic Surgery, ) (Specialist Network, ) (Plastic Surgery, Allopathic & Osteopathic Physicians)
| PECOS ID | 5890829881 |
| Registration | PART-B:Y DME:Y HHA:Y PMD:Y |
| Entity Type | Individual |
| Provider Name | Dr. Michael Lofgren M.D. |
| Practice Office Address | 895 CITY CENTER BLVD STE 300 NEWPORT NEWS, VA US |
| Practice Office Telephone | 7578733500 |
| Practice Office Fax | 7575915240 |
| Mailing Address | 895 CITY CENTER BLVD STE 300 NEWPORT NEWS, VA 236063080 US |
| Business Telephone | 7578733500 |
| Business Fax | 7575915240 |
| Code | Practice | License No State |
|---|---|---|
| 208200000X PRIMARY | Allopathic & Osteopathic Physicians Plastic Surgery Plastic Surgery Specialist Network Plastic Surgery Allopathic & Osteopathic Physicians | 0101244519
VA |