Healthcare Provider Details

I. General information

NPI: 1457307571
Provider Name (Legal Business Name): RONALD A LOHNER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 05/26/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

919 CONESTOGA RD BUILDING 1, SUITE 200
ROSEMONT PA
19010-1352
US

IV. Provider business mailing address

919 CONESTOGA RD BUILDING 1, SUITE 200
ROSEMONT PA
19010-1352
US

V. Phone/Fax

Practice location:
  • Phone: 610-519-0600
  • Fax: 610-519-1234
Mailing address:
  • Phone: 610-519-0600
  • Fax: 610-519-1234

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License NumberMD044565L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: