Provider Demographics
NPI:1396964904
Name:LOHRI, JOSHUA MARK (DO)
Entity type:Individual
Prefix:DR
First Name:JOSHUA
Middle Name:MARK
Last Name:LOHRI
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1201 WASHINGTON ST E
Mailing Address - Street 2:STE 100
Mailing Address - City:CHARLESTON
Mailing Address - State:WV
Mailing Address - Zip Code:25301
Mailing Address - Country:US
Mailing Address - Phone:304-388-1965
Mailing Address - Fax:304-388-1969
Practice Address - Street 1:1201 WASHINGTON ST E
Practice Address - Street 2:SUITE 105
Practice Address - City:CHARLESTON
Practice Address - State:WV
Practice Address - Zip Code:25301-1834
Practice Address - Country:US
Practice Address - Phone:304-388-1965
Practice Address - Fax:304-388-1969
Is Sole Proprietor?:No
Enumeration Date:2007-04-24
Last Update Date:2015-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV390200000X208600000X
NC2011-00041208800000X
WV2246208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
No208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV3810022884Medicaid
WVP01087429OtherRAILROAD MEDICARE
WVP01087429OtherRAILROAD MEDICARE