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NPI Code Detail

MEDICARE: CARMEN LOHN

MEDICARE:   CARMEN  LOHN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225XP0200XPediatric Occupational Therapist618CA

General Provider Information

NPI Number : 1376936880
Entity Type Code : Individual
Provider Name (Legal Business Name) : CARMEN LOHN
Provider Business Mailing Address
First Line : 2321 ETIWANDA ST
Second Line :
City : SAN DIEGO
State : CA
Zip : 92107-1442
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2321 ETIWANDA ST
Second Line :
City : SAN DIEGO
State : CA
Zip : 92107-1442
Country : US
Telephone Number : 386-871-0134
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/07/2015
Last Update Date : 03/07/2015

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Directions to “ CARMEN LOHN ” Practice Location

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