Provider Demographics
NPI:1538145701
Name:LOHMAN, DIAHN E
Entity Type:Individual
Prefix:
First Name:DIAHN
Middle Name:E
Last Name:LOHMAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:DIAHN
Other - Middle Name:E
Other - Last Name:LOHMAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:4960 S LAFAYETTE LN
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80113-7013
Mailing Address - Country:US
Mailing Address - Phone:303-618-3108
Mailing Address - Fax:303-388-8447
Practice Address - Street 1:4960 S LAFAYETTE LN
Practice Address - Street 2:
Practice Address - City:ENGLEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80113-7013
Practice Address - Country:US
Practice Address - Phone:303-618-3108
Practice Address - Fax:303-388-8447
Is Sole Proprietor?:No
Enumeration Date:2005-12-20
Last Update Date:2019-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO33759207P00000X
CODR.0033759207P00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO110130743OtherRAILROAD MEDICARE
CO01337591Medicaid
COF96216Medicare UPIN
CO110130743OtherRAILROAD MEDICARE