Provider Demographics
NPI:1770599425
Name:LOHNES, SUSAN M (NP)
Entity type:Individual
Prefix:
First Name:SUSAN
Middle Name:M
Last Name:LOHNES
Suffix:
Gender:F
Credentials:NP
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Mailing Address - Street 1:1 WELLNESS WAY
Mailing Address - Street 2:SUITE A
Mailing Address - City:TOPSHAM
Mailing Address - State:ME
Mailing Address - Zip Code:04086-1768
Mailing Address - Country:US
Mailing Address - Phone:207-406-7600
Mailing Address - Fax:207-406-7600
Practice Address - Street 1:1 WELLNESS WAY
Practice Address - Street 2:SUITE A
Practice Address - City:TOPSHAM
Practice Address - State:ME
Practice Address - Zip Code:04086-1768
Practice Address - Country:US
Practice Address - Phone:207-406-7600
Practice Address - Fax:207-406-7600
Is Sole Proprietor?:No
Enumeration Date:2006-08-01
Last Update Date:2016-06-24
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MER013858363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME0102118OtherANCC CERT #
P25527Medicare UPIN
MM6786Medicare PIN