Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | MD13889 | OR |
NPI | 1003889403 |
---|---|
Provider Name | Dr. Ronald Lee Lohman |
First Address | Clackamas, OR 97015-9777 |
Second Address | Clackamas, OR 97015-9777 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/02/2006 |
Last Update Date | 16/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
270991 | (05) | OR |
C91663 | (02) |