Lee Michael Lofgren, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

490 Issued in WY

Practice address

160 S 4TH St
Lander, WY 82520-3116

Phone

(307) 332-6148

Fax

(307) 332-5157

NPI assigned

May 13, 2010

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Lander Valley Chiropractic, Inc.

  • Clinic/Center
  • Cheyenne, WY
  • NPI 1659564185
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1273708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1273708800000",
    "number": "1699093708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 S 4TH ST",
            "city": "LANDER",
            "state": "WY",
            "postal_code": "825203116",
            "telephone_number": "307-332-6148",
            "fax_number": "307-332-5157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 S 4TH ST",
            "city": "LANDER",
            "state": "WY",
            "postal_code": "825203116",
            "telephone_number": "307-332-6148",
            "fax_number": "307-332-5157"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOFGREN",
        "first_name": "LEE",
        "middle_name": "MICHAEL",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-05-13",
        "last_updated": "2010-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WY",
            "license": "490",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MT",
            "license": "557",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER #",
            "identifier": "W307327",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sharon Bauer Lerner, LCPC, LMFT
• Melissa Lesher
• LHCG Clxxvii, LLC
• LHCG Clxxviii LLC
• De'Burae J Ling-Croft, MSW
• Amy Lott
• Lowham Surgery and Endoscopy, PC
• Anthony Steve Lowham, M.D.
• Lisa A Lowham, OTRL
• Mark Downing Woodard M.D. P.C.

• Chiropractor in Lander, WY
• Providers in Lander, WY by specialty
• Chiropractor in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.