Healthcare Provider Details

I. General information

NPI: 1770599425
Provider Name (Legal Business Name): SUSAN M LOHNES NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/01/2006
Last Update Date: 06/24/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 WELLNESS WAY SUITE A
TOPSHAM ME
04086-1768
US

IV. Provider business mailing address

1 WELLNESS WAY SUITE A
TOPSHAM ME
04086-1768
US

V. Phone/Fax

Practice location:
  • Phone: 207-406-7600
  • Fax: 207-406-7600
Mailing address:
  • Phone: 207-406-7600
  • Fax: 207-406-7600

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberR013858
License Number StateME

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: