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Individual
SALLY LOHS
Active
Individual
SALLY LOHS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
66315-20
WI
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
1396139671
WI
208D00000X
General Practice Physician
66315-20
WI
Other
Enumeration date
03/24/2015
Last updated
09/15/2020
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