Provider Demographics
NPI:1710926126
Name:LOFGREN, ROBERT KURT (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:KURT
Last Name:LOFGREN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:559 ABBOTT ST
Mailing Address - Street 2:STE A
Mailing Address - City:SALINAS
Mailing Address - State:CA
Mailing Address - Zip Code:93901-4325
Mailing Address - Country:US
Mailing Address - Phone:831-757-1007
Mailing Address - Fax:831-757-0352
Practice Address - Street 1:770 E ROMIE LN
Practice Address - Street 2:STE A
Practice Address - City:SALINAS
Practice Address - State:CA
Practice Address - Zip Code:93901-4222
Practice Address - Country:US
Practice Address - Phone:831-422-7815
Practice Address - Fax:831-422-8586
Is Sole Proprietor?:No
Enumeration Date:2006-06-05
Last Update Date:2016-11-29
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAG36834207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
070011378OtherRAILROAD MEDICARE
CAGR00118340Medicaid
CAAH6829Medicare UPIN