MEDICARE: DR. RICHARD KEITH LOHMANN M.D.

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	174400000X	Specialist	ME0044285	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	07137700001	OTHER	FL	CIGNA GOV'T SERVICES

General Provider Information

NPI Number	:	1225021397
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RICHARD KEITH LOHMANN M.D.

Provider Business Mailing Address
First Line	:	9980 CENTRAL PARK BLVD N
Second Line	:	SUITE 114
City	:	BOCA RATON
State	:	FL
Zip	:	33428-1703
Country	:	US
Telephone Number	:	561-488-2100
Fax Number	:	561-488-4242

Provider Business Practice Location Address
First Line	:	9980 CENTRAL PARK BLVD N
Second Line	:	SUITE 114
City	:	BOCA RATON
State	:	FL
Zip	:	33428-1703
Country	:	US
Telephone Number	:	561-488-2100
Fax Number	:	561-488-4242

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

Provider Enumeration Date	:	08/24/2005
Last Update Date	:	03/11/2010

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