MEDICARE: JOHN C LOHLUN MD

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	204F00000X	Transplant Surgery Physician	238207	MA
2	208600000X	Surgery Physician	238207	MA
3	208600000X	Surgery Physician	ME166014	FL
4	208600000X	Surgery Physician	94070	SC

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	000906801	OTHER	MA	MEDICARE
3	SCX340	OTHER	SC	MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1902878564
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOHN C LOHLUN MD

Provider Business Mailing Address
First Line	:	506 E CHEVES ST STE 202
Second Line	:
City	:	FLORENCE
State	:	SC
Zip	:	29506-2616
Country	:	US
Telephone Number	:	843-716-8940
Fax Number	:	843-716-9760

Provider Business Practice Location Address
First Line	:	3112 CASEY ST
Second Line	:
City	:	LORIS
State	:	SC
Zip	:	29569-2857
Country	:	US
Telephone Number	:	843-716-8940
Fax Number	:	843-716-9760

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

Provider Enumeration Date	:	02/07/2006
Last Update Date	:	05/21/2025

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Directions to “ JOHN C LOHLUN MD” Practice Location

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