Healthcare Provider Details

I. General information

NPI: 1982927166
Provider Name (Legal Business Name): CORTLAND JESSE LOHFF M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/02/2010
Last Update Date: 01/28/2025
Certification Date: 01/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PO BOX 26110
SANTA FE NM
87502-0110
US

IV. Provider business mailing address

PO BOX 26110
SANTA FE NM
87502-0110
US

V. Phone/Fax

Practice location:
  • Phone: 312-515-4409
  • Fax:
Mailing address:
  • Phone: 312-515-4409
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2083P0901X
TaxonomyPublic Health & General Preventive Medicine Physician
License NumberMD2024-0959
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: