Provider Demographics
NPI:1407048168
Name:LOHMAN CHIROPRACTIC, INC.
Entity Type:Organization
Organization Name:LOHMAN CHIROPRACTIC, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MELVIN
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:LOHMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:805-928-2225
Mailing Address - Street 1:2255 S BROADWAY
Mailing Address - Street 2:STE. 10
Mailing Address - City:SANTA MARIA
Mailing Address - State:CA
Mailing Address - Zip Code:93454-7871
Mailing Address - Country:US
Mailing Address - Phone:805-928-2225
Mailing Address - Fax:805-347-4490
Practice Address - Street 1:2255 S BROADWAY
Practice Address - Street 2:STE. 10
Practice Address - City:SANTA MARIA
Practice Address - State:CA
Practice Address - Zip Code:93454-7871
Practice Address - Country:US
Practice Address - Phone:805-928-2225
Practice Address - Fax:805-347-4490
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-15
Last Update Date:2007-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC19195111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty