Provider Demographics
NPI:1114319100
Name:LOHR, KRISTIN A (APNP)
Entity Type:Individual
Prefix:
First Name:KRISTIN
Middle Name:A
Last Name:LOHR
Suffix:
Gender:F
Credentials:APNP
Other - Prefix:
Other - First Name:KRISTIN
Other - Middle Name:A
Other - Last Name:GABRIELSE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4425 N PORT WASHINGTON RD
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:WI
Mailing Address - Zip Code:53212-1082
Mailing Address - Country:US
Mailing Address - Phone:414-326-2218
Mailing Address - Fax:414-326-2208
Practice Address - Street 1:N143W6515 PIONEER RD
Practice Address - Street 2:
Practice Address - City:CEDARBURG
Practice Address - State:WI
Practice Address - Zip Code:53012-2705
Practice Address - Country:US
Practice Address - Phone:262-377-6933
Practice Address - Fax:262-376-2495
Is Sole Proprietor?:No
Enumeration Date:2015-02-27
Last Update Date:2021-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI6254363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily