Individual
MS. MICHELE LYNNE LOHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
145 US HIGHWAY 46, SUITE 304, WAYNE, NJ 07470-6830
(973) 826-1540
Mailing address
PO BOX 4059, WAYNE, NJ 07474-4059
(973) 826-1540
(855) 834-5435
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
25MP00148300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
275284
GRP PTAN QUALITY SURGICAL SERVICES LLC
NJ
Enumeration date
05/15/2007
Last updated
08/25/2014
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