Provider Demographics
NPI:1336100817
Name:LOHR, ROBERT MARK (DO)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:MARK
Last Name:LOHR
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:10099 RIDGEGATE PKWY
Mailing Address - Street 2:SUITE 340
Mailing Address - City:LONE TREE
Mailing Address - State:CO
Mailing Address - Zip Code:80124-5531
Mailing Address - Country:US
Mailing Address - Phone:303-706-0400
Mailing Address - Fax:303-706-0408
Practice Address - Street 1:10099 RIDGEGATE PKWY
Practice Address - Street 2:SUITE 340
Practice Address - City:LONE TREE
Practice Address - State:CO
Practice Address - Zip Code:80124-5531
Practice Address - Country:US
Practice Address - Phone:303-706-0400
Practice Address - Fax:303-706-0408
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-31
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CO26138207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO01261387Medicaid
CO466608Medicare ID - Type Unspecified
CO01261387Medicaid