Provider Demographics
NPI:1881929727
Name:LOHAR, LORI ANN (MS, RD)
Entity type:Individual
Prefix:MS
First Name:LORI
Middle Name:ANN
Last Name:LOHAR
Suffix:
Gender:F
Credentials:MS, RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8311 E VIA DE VENTURA APT 2030
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85258-6615
Mailing Address - Country:US
Mailing Address - Phone:480-262-7479
Mailing Address - Fax:
Practice Address - Street 1:650 E INDIAN SCHOOL ROAD
Practice Address - Street 2:NUTRITION HOSPITALITY AND FOOD SERVICE (120)
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85012-1892
Practice Address - Country:US
Practice Address - Phone:602-277-5551
Practice Address - Fax:602-222-6539
Is Sole Proprietor?:No
Enumeration Date:2009-10-09
Last Update Date:2009-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
832758133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered