Provider Demographics
NPI:1346283611
Name:DR FREDERICK T LOHR PA
Entity Type:Organization
Organization Name:DR FREDERICK T LOHR PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:PEGGY
Authorized Official - Middle Name:
Authorized Official - Last Name:HANIFEE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-778-3445
Mailing Address - Street 1:201 TALBOT BLVD
Mailing Address - Street 2:
Mailing Address - City:CHESTERTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:21620-3000
Mailing Address - Country:US
Mailing Address - Phone:410-778-3445
Mailing Address - Fax:410-778-3702
Practice Address - Street 1:201 TALBOT BLVD
Practice Address - Street 2:
Practice Address - City:CHESTERTOWN
Practice Address - State:MD
Practice Address - Zip Code:21620-3000
Practice Address - Country:US
Practice Address - Phone:410-778-3445
Practice Address - Fax:410-778-3702
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-14
Last Update Date:2012-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD28784174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty