Provider Demographics
NPI:1790822948
Name:LOHMAN, THERESA ANN (DNP, CNM, FNP-BC)
Entity Type:Individual
Prefix:DR
First Name:THERESA
Middle Name:ANN
Last Name:LOHMAN
Suffix:
Gender:F
Credentials:DNP, CNM, FNP-BC
Other - Prefix:
Other - First Name:THERESA
Other - Middle Name:ANN
Other - Last Name:DUCHON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN MS CNM
Mailing Address - Street 1:533 SOUTHFIELD DR
Mailing Address - Street 2:
Mailing Address - City:MAUMEE
Mailing Address - State:OH
Mailing Address - Zip Code:43537-2707
Mailing Address - Country:US
Mailing Address - Phone:419-893-4672
Mailing Address - Fax:
Practice Address - Street 1:3232 NAVARRE AVE
Practice Address - Street 2:
Practice Address - City:OREGON
Practice Address - State:OH
Practice Address - Zip Code:43616-3312
Practice Address - Country:US
Practice Address - Phone:419-691-0636
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-30
Last Update Date:2011-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHNP09062363LF0000X
OHNM06691367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife