Healthcare Provider Details

I. General information

NPI: 1568485845
Provider Name (Legal Business Name): WILLIAM DAVID LOHR M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/26/2006
Last Update Date: 01/10/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 E CHESTNUT ST LOUISVILLE
LOUISVILLE KY
40202-1831
US

IV. Provider business mailing address

PO BOX 909 LOUISVILLE
LOUISVILLE KY
40201-0909
US

V. Phone/Fax

Practice location:
  • Phone: 502-588-0800
  • Fax: 502-588-0801
Mailing address:
  • Phone: 502-588-0800
  • Fax: 502-588-0801

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number30128
License Number StateKY
# 2
Primary TaxonomyY
Taxonomy Code2084P0804X
TaxonomyChild & Adolescent Psychiatry Physician
License Number30128
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: