Provider Demographics
NPI:1376849984
Name:LOHR, LISA KAY (PHARMD,)
Entity Type:Individual
Prefix:MRS
First Name:LISA
Middle Name:KAY
Last Name:LOHR
Suffix:
Gender:F
Credentials:PHARMD,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:424 HARVARD ST SE
Mailing Address - Street 2:SUITE 300
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55455-0362
Mailing Address - Country:US
Mailing Address - Phone:612-626-0401
Mailing Address - Fax:612-262-6208
Practice Address - Street 1:424 HARVARD ST SE
Practice Address - Street 2:SUITE 300
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55455-0362
Practice Address - Country:US
Practice Address - Phone:612-626-0401
Practice Address - Fax:612-262-6208
Is Sole Proprietor?:No
Enumeration Date:2011-01-28
Last Update Date:2011-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN115693183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist