Provider Demographics
NPI:1437265956
Name:LOCHNER, RICHARD A (DPM)
Entity Type:Individual
Prefix:
First Name:RICHARD
Middle Name:A
Last Name:LOCHNER
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:323 S MINNESOTA ST
Mailing Address - Street 2:
Mailing Address - City:CROOKSTON
Mailing Address - State:MN
Mailing Address - Zip Code:56716-1601
Mailing Address - Country:US
Mailing Address - Phone:218-281-9553
Mailing Address - Fax:218-281-9393
Practice Address - Street 1:323 S MINNESOTA ST
Practice Address - Street 2:
Practice Address - City:CROOKSTON
Practice Address - State:MN
Practice Address - Zip Code:56716-1601
Practice Address - Country:US
Practice Address - Phone:218-281-9553
Practice Address - Fax:218-281-9393
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-21
Last Update Date:2012-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN324213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
551S3LOOtherBLUECROSS BLUE SHIELD
82506700OtherWISC MEDICAID
MN812825100Medicaid
2700243OtherMEDICA
969991021964OtherPREFERREDONE
14213G795OtherUCARE
HP23447OtherHEALTHPARTNERS
14213G795OtherUCARE
969991021964OtherPREFERREDONE