Provider Demographics
NPI:1134672769
Name:FREDERICK T LOHR PA
Entity Type:Organization
Organization Name:FREDERICK T LOHR PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, MD
Authorized Official - Prefix:
Authorized Official - First Name:FREDERICK
Authorized Official - Middle Name:T
Authorized Official - Last Name:LOHR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-536-1073
Mailing Address - Street 1:201 TALBOT BLVD
Mailing Address - Street 2:SUITE W
Mailing Address - City:CHESTERTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:21620-3000
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1340 MIDDLEFORD RD
Practice Address - Street 2:SUITE 403
Practice Address - City:SEAFORD
Practice Address - State:DE
Practice Address - Zip Code:19973-3665
Practice Address - Country:US
Practice Address - Phone:301-536-1073
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-01
Last Update Date:2016-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty