MEDICARE: DR. NATALIA LOHMANN PSYD

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
1	103TC0700X	Clinical Psychologist	PY10886	FL

General Provider Information

NPI Number	:	1619621547
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NATALIA LOHMANN PSYD

Provider Business Mailing Address
First Line	:	1700 E LAS OLAS BLVD STE 207
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33301-2407
Country	:	US
Telephone Number	:	786-942-4550
Fax Number	:

Provider Business Practice Location Address
First Line	:	1700 E LAS OLAS BLVD STE 207
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33301-2407
Country	:	US
Telephone Number	:	786-942-4550
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/09/2022
Last Update Date	:	02/09/2022

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