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NPI Code Detail

MEDICARE: JENNIFER R LOHR CRNP

MEDICARE: JENNIFER R LOHR CRNP
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
1363L00000XNurse PractitionerSP008369PA

General Provider Information

NPI Number : 1962400846
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER R LOHR CRNP
Provider Business Mailing Address
First Line : 2907 PLEASANT VALLEY BLVD
Second Line :
City : ALTOONA
State : PA
Zip : 16602-4305
Country : US
Telephone Number : 814-943-8164
Fax Number :
Provider Business Practice Location Address
First Line : 2907 PLEASANT VALLEY BLVD
Second Line :
City : ALTOONA
State : PA
Zip : 16602-4305
Country : US
Telephone Number : 814-943-8164
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/13/2005
Last Update Date : 01/27/2011

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