Healthcare Provider Details

I. General information

NPI: 1487915518
Provider Name (Legal Business Name): LOHMAN ANESTHESIA ASSOCIATES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/05/2012
Last Update Date: 06/05/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4381 E LOHMAN AVE STE A
LAS CRUCES NM
88011-8255
US

IV. Provider business mailing address

PO BOX 2707
LAS CRUCES NM
88004-2707
US

V. Phone/Fax

Practice location:
  • Phone: 575-522-7697
  • Fax:
Mailing address:
  • Phone: 575-522-7697
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State

VIII. Authorized Official

Name: THOMAS V NATTAKOM
Title or Position: OWNER
Credential: MD
Phone: 575-496-3003