Provider Demographics
NPI:1659433746
Name:POHL, STEPHEN LAWRENCE (MD)
Entity Type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:LAWRENCE
Last Name:POHL
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1760 NICHOLASVILLE RD
Mailing Address - Street 2:SUITE 502
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40503-1473
Mailing Address - Country:US
Mailing Address - Phone:859-278-2232
Mailing Address - Fax:859-278-2232
Practice Address - Street 1:1760 NICHOLASVILLE RD
Practice Address - Street 2:SUITE 502
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40503-1473
Practice Address - Country:US
Practice Address - Phone:859-278-2232
Practice Address - Fax:859-278-2232
Is Sole Proprietor?:No
Enumeration Date:2006-12-14
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
KY25607207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY000000041605OtherANTHEM BCBS
KY64250608Medicaid
KY7649OtherCHA
BO9697OtherBLUEGRASS FAMILY HEALTH
460001483OtherRAILROAD MEDICARE
BO9697OtherBLUEGRASS FAMILY HEALTH
BO9697Medicare UPIN