Doctor Name: | KRISTA LOHMAR |
NPI Number: | 1891912523 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 22002633A |
Business Practice Address: | 3340 North Washington Road Ft. Wayne, IL - 46802 |
Business Phone Number: | 2607102006 |
Business Fax Number: | 2604361937 |
Mailing Address: | 3340 North Washington Road, FT. WAYNE |
State: | IL |
Postal Code: | 46802 |
Phone Number: | 2607102006 |
Fax Number: | 2604361937 |
NPI Enumeration Date: | 04/20/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 22002633A |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IN |
Taxonomy Type: | Speech, Language and Hearing Service Providers |
Taxonomy Classification: | Speech-Language Pathologist |
Taxonomy Specialization: | |
Taxonomy Definition: | A speech pathologist is a person qualified by a master |