Healthcare Provider Details

I. General information

NPI: 1326033499
Provider Name (Legal Business Name): FREDERICK T LOHR MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/15/2005
Last Update Date: 02/28/2024
Certification Date: 02/28/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 TALBOT BLVD STE W
CHESTERTOWN MD
21620-3000
US

IV. Provider business mailing address

201 TALBOT BLVD STE W
CHESTERTOWN MD
21620-3000
US

V. Phone/Fax

Practice location:
  • Phone: 410-778-3445
  • Fax: 410-778-3702
Mailing address:
  • Phone: 410-778-3445
  • Fax: 410-778-3702

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberD28784
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: