MEDICARE: KATE ELIZABETH LOHMAN MS, RDN, LD

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	133V00000X	Registered Dietitian	2019025417	MO

General Provider Information

NPI Number	:	1134952799
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATE ELIZABETH LOHMAN MS, RDN, LD

Provider Business Mailing Address
First Line	:	1918 MIRTLE GROVE CT
Second Line	:
City	:	COLUMBIA
State	:	MO
Zip	:	65201-5491
Country	:	US
Telephone Number	:	573-554-4446
Fax Number	:

Provider Business Practice Location Address
First Line	:	1918 MIRTLE GROVE CT
Second Line	:
City	:	COLUMBIA
State	:	MO
Zip	:	65201-5491
Country	:	US
Telephone Number	:	573-554-4446
Fax Number	:

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

Provider Enumeration Date	:	08/20/2024
Last Update Date	:	08/20/2024

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