Provider Demographics
NPI:1720038748
Name:OCHS, LORRE ANN (MD)
Entity Type:Individual
Prefix:DR
First Name:LORRE
Middle Name:ANN
Last Name:OCHS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3931 LOUISIANA AVE S
Mailing Address - Street 2:
Mailing Address - City:ST LOUIS PARK
Mailing Address - State:MN
Mailing Address - Zip Code:55426-4375
Mailing Address - Country:US
Mailing Address - Phone:952-993-3248
Mailing Address - Fax:952-993-6066
Practice Address - Street 1:3931 LOUISIANA AVE S
Practice Address - Street 2:
Practice Address - City:ST LOUIS PARK
Practice Address - State:MN
Practice Address - Zip Code:55426-4375
Practice Address - Country:US
Practice Address - Phone:952-993-3248
Practice Address - Fax:952-993-6066
Is Sole Proprietor?:No
Enumeration Date:2006-05-11
Last Update Date:2011-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN32899207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN551062700Medicaid
MN551062700Medicaid
MNE89603Medicare UPIN