MEDICARE: LOBGA P KOHTEM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	374U00000X	Home Health Aide		DC

General Provider Information

NPI Number	:	1124982681
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LOBGA P KOHTEM

Provider Business Mailing Address
First Line	:	7301 CALEDON CT
Second Line	:
City	:	LAUREL
State	:	MD
Zip	:	20707-6904
Country	:	US
Telephone Number	:	240-543-3901
Fax Number	:

Provider Business Practice Location Address
First Line	:	7301 CALEDON CT
Second Line	:
City	:	LAUREL
State	:	MD
Zip	:	20707-6904
Country	:	US
Telephone Number	:	240-543-3901
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/10/2025
Last Update Date	:	12/10/2025

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Directions to “ LOBGA P KOHTEM ” Practice Location

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