Healthcare Provider Details

I. General information

NPI: 1992764187
Provider Name (Legal Business Name): WILLIAM SCOTT LOHNER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/17/2006
Last Update Date: 10/31/2024
Certification Date: 10/31/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8564 E COUNTY ROAD 466 STE 201
THE VILLAGES FL
32162-3021
US

IV. Provider business mailing address

1735 N STATE ST
PROVO UT
84604-1010
US

V. Phone/Fax

Practice location:
  • Phone: 352-720-9411
  • Fax: 352-342-9352
Mailing address:
  • Phone: 801-379-2904
  • Fax: 801-379-2959

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License NumberME170415
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number357044-1205
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: