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NPI Code Detail

MEDICARE: MS. MARY DUCEY LOHRMANN PA

MEDICARE:  MS. MARY DUCEY LOHRMANN  PA
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
1363AM0700XMedical Physician Assistant086001738IL
2363AM0700XMedical Physician AssistantPA.0007276CO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1550894537OTHERINTAX ID

General Provider Information

NPI Number : 1649252537
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. MARY DUCEY LOHRMANN PA
Provider Business Mailing Address
First Line : PO BOX 746081
Second Line :
City : ATLANTA
State : GA
Zip : 30374-6081
Country : US
Telephone Number : 312-733-9730
Fax Number :
Provider Business Practice Location Address
First Line : 4380 AUSTIN BLUFFS PKWY
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80918-2932
Country : US
Telephone Number : 719-454-6010
Fax Number : 719-258-1321
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/16/2005
Last Update Date : 12/16/2022

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Directions to “ MS. MARY DUCEY LOHRMANN PA” Practice Location

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