Provider Demographics
NPI:1356968796
Name:LOHR-POOT, DAWN MARIE (FNP-C)
Entity type:Individual
Prefix:
First Name:DAWN
Middle Name:MARIE
Last Name:LOHR-POOT
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:DAWN
Other - Middle Name:MARIE
Other - Last Name:LOHR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:17402 HENRY RD
Mailing Address - Street 2:
Mailing Address - City:ESCALON
Mailing Address - State:CA
Mailing Address - Zip Code:95320-9471
Mailing Address - Country:US
Mailing Address - Phone:209-840-2080
Mailing Address - Fax:
Practice Address - Street 1:2240 W MONTE VISTA AVE
Practice Address - Street 2:
Practice Address - City:TURLOCK
Practice Address - State:CA
Practice Address - Zip Code:95382-9667
Practice Address - Country:US
Practice Address - Phone:866-682-4842
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-07-01
Last Update Date:2020-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CANP95014702363LF0000X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty