Provider Demographics
NPI:1770569139
Name:RICHARD E LOCHAMY MD LLC
Entity type:Organization
Organization Name:RICHARD E LOCHAMY MD LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:EDWARD
Authorized Official - Last Name:LOCHAMY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:785-762-6543
Mailing Address - Street 1:1106 SAINT MARYS RD
Mailing Address - Street 2:SUITE 306
Mailing Address - City:JUNCTION CITY
Mailing Address - State:KS
Mailing Address - Zip Code:66441-4158
Mailing Address - Country:US
Mailing Address - Phone:785-762-6543
Mailing Address - Fax:785-762-5733
Practice Address - Street 1:1106 SAINT MARYS RD
Practice Address - Street 2:
Practice Address - City:JUNCTION CITY
Practice Address - State:KS
Practice Address - Zip Code:66441-4158
Practice Address - Country:US
Practice Address - Phone:785-762-6543
Practice Address - Fax:785-762-5733
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-19
Last Update Date:2009-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS0424699207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS100147040CMedicaid
KS100147040CMedicaid
KSF50912Medicare UPIN