Basic Information
Provider Information
NPI: 1154889962
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: LOCHNER
FirstName: HANNAH
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: RD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 530 DE MOSS ST
Address2:  
City: LORDSBURG
State: NM
PostalCode: 880452617
CountryCode: US
TelephoneNumber: 5755422307
FaxNumber: 5755422388
Practice Location
Address1: 1007 N POPE ST
Address2:  
City: SILVER CITY
State: NM
PostalCode: 880615161
CountryCode: US
TelephoneNumber: 5753881511
FaxNumber: 5753138236
Other Information
ProviderEnumerationDate: 03/11/2019
LastUpdateDate: 03/11/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
133V00000XLD-1278NMY Dietary & Nutritional Service ProvidersDietitian, Registered 

No ID Information.


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