Basic Information
Provider Information
NPI: 1205802808
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: LOHR
FirstName: JOANN
MiddleName: M
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 6350 GLENWAY AVE STE 208
Address2:  
City: CINCINNATI
State: OH
PostalCode: 452116375
CountryCode: US
TelephoneNumber: 5134517400
FaxNumber: 5134517888
Practice Location
Address1: 6350 GLENWAY AVE STE 208
Address2:  
City: CINCINNATI
State: OH
PostalCode: 452116375
CountryCode: US
TelephoneNumber: 5134517400
FaxNumber: 5134517888
Other Information
ProviderEnumerationDate: 02/24/2006
LastUpdateDate: 03/23/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208600000X35061624OHN Allopathic & Osteopathic PhysiciansSurgery 
2086S0102X35061624OHN Allopathic & Osteopathic PhysiciansSurgerySurgical Critical Care
2086S0129X35061624OHY Allopathic & Osteopathic PhysiciansSurgeryVascular Surgery

ID Information
IDTypeStateIssuerDescription
2002723301OHRR MEDICAREOTHER
087741205OH MEDICAID
20000123005IN MEDICAID
77000240901OHRR MEDICAREOTHER
6486983705KY MEDICAID


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