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NPI Code Detail

MEDICARE: JOHN M LAHR PA-C

MEDICARE: JOHN M LAHR PA-C
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
1363A00000XPhysician AssistantPA910711FL
2363AS0400XSurgical Physician AssistantPA9101711FL

General Provider Information

NPI Number : 1588636997
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOHN M LAHR PA-C
Provider Business Mailing Address
First Line : 1285 ORANGE AVE
Second Line :
City : WINTER PARK
State : FL
Zip : 32789-4984
Country : US
Telephone Number : 407-647-2287
Fax Number : 407-643-2807
Provider Business Practice Location Address
First Line : 1285 ORANGE AVE
Second Line :
City : WINTER PARK
State : FL
Zip : 32789-4984
Country : US
Telephone Number : 407-647-2287
Fax Number : 407-643-2807
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/02/2006
Last Update Date : 09/30/2024

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Directions to “ JOHN M LAHR PA-C” Practice Location

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