Healthcare Provider Details

I. General information

NPI: 1497384184
Provider Name (Legal Business Name): ROSANNE CLARE LOHMAN NP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/04/2020
Last Update Date: 03/31/2022
Certification Date: 03/31/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

336 MAIN ST S
FORMAN ND
58032-4001
US

IV. Provider business mailing address

13404 379TH AVE
ABERDEEN SD
57401-8424
US

V. Phone/Fax

Practice location:
  • Phone: 701-724-3221
  • Fax: 701-724-3222
Mailing address:
  • Phone: 605-228-3227
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberR48970
License Number StateND

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: