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NPI Code Detail

MEDICARE: NICOLE LOHR PHYSICIAN ASSISTANT

MEDICARE: NICOLE LOHR PHYSICIAN ASSISTANT
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
1363AS0400XSurgical Physician Assistant0156371NY

General Provider Information

NPI Number : 1821351172
Entity Type Code : Individual
Provider Name (Legal Business Name) : NICOLE LOHR PHYSICIAN ASSISTANT
Provider Business Mailing Address
First Line : 1050 CONNECTICUT AVE NW STE 500
Second Line :
City : WASHINGTON
State : DC
Zip : 20036-5304
Country : US
Telephone Number : 202-596-8891
Fax Number : 833-941-2357
Provider Business Practice Location Address
First Line : 1050 CONNECTICUT AVE NW STE 500
Second Line :
City : WASHINGTON
State : DC
Zip : 20036-5304
Country : US
Telephone Number : 202-596-8891
Fax Number : 833-941-2357
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/21/2012
Last Update Date : 10/14/2025

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