Provider Demographics
NPI:1295770915
Name:LOHREY, CHARLOTTE J (MD)
Entity type:Individual
Prefix:DR
First Name:CHARLOTTE
Middle Name:J
Last Name:LOHREY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:345 23RD AVE N
Mailing Address - Street 2:SUITE 306
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37203-1513
Mailing Address - Country:US
Mailing Address - Phone:615-320-3999
Mailing Address - Fax:615-320-8877
Practice Address - Street 1:345 23RD AVE N
Practice Address - Street 2:SUITE 306
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37203-1513
Practice Address - Country:US
Practice Address - Phone:615-320-3999
Practice Address - Fax:615-320-8877
Is Sole Proprietor?:No
Enumeration Date:2006-06-17
Last Update Date:2013-01-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TN40242207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNP00464034OtherRAILROAD MEDICARE
TN3731365Medicaid
H86977Medicare UPIN
TN3731365Medicaid