Provider Demographics
NPI:1528223567
Name:LOHMANN, DOROTHY S (PA)
Entity Type:Individual
Prefix:
First Name:DOROTHY
Middle Name:S
Last Name:LOHMANN
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 820933
Mailing Address - Street 2:
Mailing Address - City:PHILA
Mailing Address - State:PA
Mailing Address - Zip Code:19182-0933
Mailing Address - Country:US
Mailing Address - Phone:215-540-8408
Mailing Address - Fax:215-540-8418
Practice Address - Street 1:515 PENNSYLVANIA AVE
Practice Address - Street 2:
Practice Address - City:FORT WASHINGTON
Practice Address - State:PA
Practice Address - Zip Code:19034-3314
Practice Address - Country:US
Practice Address - Phone:215-540-8408
Practice Address - Fax:215-540-8418
Is Sole Proprietor?:No
Enumeration Date:2008-07-18
Last Update Date:2013-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOA000159L363A00000X
PAMA-002670-L363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA597586OtherMEDICARE GROUP
PACD4829OtherTPI RAILROAD MEDICARE GROUP
PA100727800OtherTPI MEDICAID GROUP
PA597586OtherMEDICARE GROUP