| Mrs Charlotte L Lofgren, MD | |
|
6254 Lawville Rd, Wolcott, NY 14590-9792 | |
| (315) 594-9444 | |
| (315) 594-9276 |
| Full Name | Mrs Charlotte L Lofgren |
|---|---|
| Gender | Female |
| Speciality | Pediatrics |
| Location | 6254 Lawville Rd, Wolcott, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154529436 | NPI | - | NPPES |
| 1154529436 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 4301090376 (Michigan) | Secondary |
| 208000000X | Pediatrics | 305192 (New York) | Primary |
| Entity Name | Intercare Community Health Network |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326058512 PECOS PAC ID: 9537061254 Enrollment ID: O20040223000150 |
| Entity Name | Lakeland Community Hospital Watervliet |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023114741 PECOS PAC ID: 7416942750 Enrollment ID: O20040416000984 |
| Entity Name | Lakeland Medical Practices |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538397120 PECOS PAC ID: 1658427042 Enrollment ID: O20090928000216 |
| Entity Name | Lakeland Community Hospital Watervliet |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538592753 PECOS PAC ID: 7416942750 Enrollment ID: O20131029002202 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Charlotte L Lofgren, MD 100 Kings Hwy S, Rochester, NY 14617-5504 Ph: (315) 594-9444 | Mrs Charlotte L Lofgren, MD 6254 Lawville Rd, Wolcott, NY 14590-9792 Ph: (315) 594-9444 |
Adam Jon Weis, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 6254 Lawville Rd, Wolcott, NY 14590 Phone: 315-594-9444 Fax: 315-594-1315 | |
Dr. Michael E Shoemaker, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 6254 Lawville Rd, Wolcott, NY 14590 Phone: 315-594-9444 Fax: 315-594-1315 |