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NPI Code Detail

MEDICARE: KAREN M LOMMEL DO

MEDICARE: KAREN M LOMMEL DO
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
1207P00000XEmergency Medicine Physician39085SC
2207P00000XEmergency Medicine Physician02836KY
32084P0800XPsychiatry Physician02836KY
42084P0804XChild & Adolescent Psychiatry Physician02836KY
52084P0804XChild & Adolescent Psychiatry Physician39085SC

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
3SC8442OTHERSCMEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1538242870
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAREN M LOMMEL DO
Provider Business Mailing Address
First Line : 300 E MCBEE AVE FL 4
Second Line :
City : GREENVILLE
State : SC
Zip : 29601-2842
Country : US
Telephone Number : 864-522-8603
Fax Number :
Provider Business Practice Location Address
First Line : 725 GROVE RD
Second Line :
City : GREENVILLE
State : SC
Zip : 29605-9998
Country : US
Telephone Number : 864-455-6968
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/23/2006
Last Update Date : 04/09/2025

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Directions to “ KAREN M LOMMEL DO” Practice Location

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