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NPI Code Detail

MEDICARE: ANDREA MARIE LOUGEN

MEDICARE: ANDREA MARIE LOUGEN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist043017-1NY
2225100000XPhysical Therapist3244NV

General Provider Information

NPI Number : 1073988804
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANDREA MARIE LOUGEN
Provider Business Mailing Address
First Line : 6363 TRANSIT RD
Second Line :
City : EAST AMHERST
State : NY
Zip : 14051-2716
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6363 TRANSIT RD
Second Line :
City : EAST AMHERST
State : NY
Zip : 14051-2716
Country : US
Telephone Number : 716-688-5709
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/04/2015
Last Update Date : 05/27/2026

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Directions to “ ANDREA MARIE LOUGEN ” Practice Location

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