Provider Demographics
NPI:1134489818
Name:LOHR FAMILY DENTISTRY P.C.
Entity type:Organization
Organization Name:LOHR FAMILY DENTISTRY P.C.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:LOHR
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:712-255-1163
Mailing Address - Street 1:2918 HAMILTON BLVD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:SIOUX CITY
Mailing Address - State:IA
Mailing Address - Zip Code:51104-2414
Mailing Address - Country:US
Mailing Address - Phone:712-255-1163
Mailing Address - Fax:
Practice Address - Street 1:2918 HAMILTON BLVD
Practice Address - Street 2:SUITE 101
Practice Address - City:SIOUX CITY
Practice Address - State:IA
Practice Address - Zip Code:51104-2414
Practice Address - Country:US
Practice Address - Phone:712-255-1163
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-29
Last Update Date:2012-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty