Provider Demographics
NPI:1154321859
Name:LOHMAN, LAWRENCE E (MD)
Entity Type:Individual
Prefix:DR
First Name:LAWRENCE
Middle Name:E
Last Name:LOHMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2013 STATE ROUTE 59
Mailing Address - Street 2:
Mailing Address - City:KENT
Mailing Address - State:OH
Mailing Address - Zip Code:44240-4113
Mailing Address - Country:US
Mailing Address - Phone:330-678-0201
Mailing Address - Fax:330-678-4272
Practice Address - Street 1:2013 STATE ROUTE 59
Practice Address - Street 2:
Practice Address - City:KENT
Practice Address - State:OH
Practice Address - Zip Code:44240-4113
Practice Address - Country:US
Practice Address - Phone:330-678-0201
Practice Address - Fax:330-678-4272
Is Sole Proprietor?:No
Enumeration Date:2005-07-26
Last Update Date:2013-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35039785207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0474786Medicaid
OH094214001OtherNSC
OH0713339Medicaid
OHLO477951Medicare ID - Type UnspecifiedINDIVIDUAL MEDICARE NUMBE
OH0474786Medicaid
OH0713339Medicaid