Provider Demographics
NPI:1750879409
Name:LORHAN, JAMES LESTER (RP)
Entity type:Individual
Prefix:MR
First Name:JAMES
Middle Name:LESTER
Last Name:LORHAN
Suffix:
Gender:M
Credentials:RP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:607 S SHORE DR
Mailing Address - Street 2:
Mailing Address - City:HASTINGS
Mailing Address - State:NE
Mailing Address - Zip Code:68901-2609
Mailing Address - Country:US
Mailing Address - Phone:402-463-7616
Mailing Address - Fax:
Practice Address - Street 1:3803 OSBORNE DR W
Practice Address - Street 2:
Practice Address - City:HASTINGS
Practice Address - State:NE
Practice Address - Zip Code:68901-9139
Practice Address - Country:US
Practice Address - Phone:402-462-6127
Practice Address - Fax:402-462-6127
Is Sole Proprietor?:No
Enumeration Date:2018-04-27
Last Update Date:2018-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE9405183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE9405OtherSTATE LICENSE