Provider Demographics
NPI:1568736320
Name:LOHMAR, ROLAND E (MD)
Entity Type:Individual
Prefix:
First Name:ROLAND
Middle Name:E
Last Name:LOHMAR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4555 N ROUTE E
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MO
Mailing Address - Zip Code:65202-7811
Mailing Address - Country:US
Mailing Address - Phone:573-445-3523
Mailing Address - Fax:
Practice Address - Street 1:4555 N ROUTE E
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MO
Practice Address - Zip Code:65202-7811
Practice Address - Country:US
Practice Address - Phone:573-445-3523
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-26
Last Update Date:2012-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO27588207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine