Provider Demographics
NPI:1225059017
Name:LOHRMANN, WOLFGANG ERICH (MD)
Entity Type:Individual
Prefix:DR
First Name:WOLFGANG
Middle Name:ERICH
Last Name:LOHRMANN
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 1:2603 DAVIE AVE
Mailing Address - Street 2:
Mailing Address - City:STATESVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28625-8256
Mailing Address - Country:US
Mailing Address - Phone:704-873-6515
Mailing Address - Fax:704-873-6508
Practice Address - Street 1:2603 DAVIE AVE
Practice Address - Street 2:
Practice Address - City:STATESVILLE
Practice Address - State:NC
Practice Address - Zip Code:28625-8256
Practice Address - Country:US
Practice Address - Phone:704-873-6515
Practice Address - Fax:704-873-6508
Is Sole Proprietor?:No
Enumeration Date:2006-07-21
Last Update Date:2013-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC96-00617207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8952688Medicaid
NC8952688Medicaid
F28904Medicare UPIN