Shanda Renee Lohse M.D.

NPI 1790891521 - Family Medicine - 207Q00000X

NPI Details
NPI 1790891521
Gender Female
Enumeration Date 08/22/2006
Last Updated 08/15/2013
Entity Type Individual
Active Over 10 years ago
Practice Location
1001 S KNIK GOOSE BAY RD
WASILLA AK, 99654-8083, US
Phone (907) 631-7803
Fax
Business Location
1001 S KNIK GOOSE BAY RD
WASILLA AK, 99654-8083, US
Phone (907) 631-7803
Fax
Toxanomy
Taxonomy Code 207Q00000X
License State Alaska
License Number 5512
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According to our database, Shanda Renee Lohse M.D. NPI is 1790891521, taxonomy code is 207Q00000X and license number is 5512, license state is located at Alaska. Shanda Renee Lohse M.D. physically located at 1001 S Knik Goose Bay Rd, Wasilla AK, 99654-8083. NPI Number Shanda Renee Lohse M.D. has the Individual type.

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1790891521 NPI number is provided on an as is basis without warranty of any kind. 1790891521 is maintained by the National Plan & Provider Enumeration System. The contents of Shanda Renee Lohse M.D. are for informational purposes only.