National Provider Identifier

Charlotte L Lofgren, M.D.

Charlotte L Lofgren, M.D. is listed in the NPPES registry with a primary specialty of Pediatrics Physician in Wolcott, NY and a listed phone number of (315) 594-9444.

NPI 1154529436Wolcott, NYPediatrics Physician

Profile Overview

NPI
1154529436
Provider Type
Individual
Primary Specialty
Pediatrics Physician
Enumeration Date
July 06, 2007
Last Updated
June 04, 2020

Practice Location

  • 6254 Lawville RD
  • Wolcott, NY 14590-9792

Phone: (315) 594-9444

Mailing Address

  • 100 Kings Hwy S
  • Rochester, NY 14617-5504

Specialties

  • Pediatrics Physician (208000000X)
  • Pediatrics Physician (208000000X)
Full Record
NPI
1154529436
Entity Type
Individual
Last Name
Lofgren
First Name
Charlotte
Middle Name
L
Name Prefix
Mrs.
Credential
M.D.
Mailing Street Address
100 Kings Hwy S
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14617-5504
Mailing Country
US
Mailing Phone
(315) 594-9444
Mailing Fax
(315) 594-9276
Practice Street Address
6254 Lawville RD
Practice City
Wolcott
Practice State
NY
Practice ZIP Code
14590-9792
Practice Country
US
Practice Phone
(315) 594-9444
Practice Fax
(315) 594-9276
Enumeration Date
July 06, 2007
Last Updated
June 04, 2020
Sex
Female
Sole Proprietor
No
Certification Date
June 04, 2020
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Pediatrics Physician (208000000X), Pediatrics Physician (208000000X)
Other Identifiers
1154529436 (MI)