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General NPI Number Information
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NPI Number | 1902986169
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Entity Type | Organization
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Legal Business Name | LOCHNER HEALTHCARE, L.L.C.
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Dates
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Enumeration Date | 10/16/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 5955 EAST 600 NORTH, US HIGHWAY ROUTE 30 WEST SUITE 1
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City | HAMLET
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State | IN
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Zip | 46532
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Country | US
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Telephone | 574-867-4300
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Fax | 574-867-4700
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Provider Business Mailing Address
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Address Line | PO BOX 87 SUITE 1
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City | HAMLET
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State | IN
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Zip | 46532-0087
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Country | US
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Telephone | 574-867-4300
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Fax | 574-867-4700
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Authorized Official
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Title or Position | OWNER
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Name | DR. RICHARD A LOCHNER
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Credential | MD
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Telephone | 574-867-4300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 01056870A
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License Number State | IN
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