Individual
DR. LEIF A LOHRBAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4205 BELFORT RD, SUITE 2069, JACKSONVILLE, FL 32216-1471
(904) 296-0278
(904) 296-0279
Mailing address
4205 BELFORT RD, SUITE 2069, JACKSONVILLE, FL 32216-1471
(904) 296-0278
(904) 296-0279
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
ME12983
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
052381000
—
FL
01
—
74682
JCC GROUP ID#
FL
Enumeration date
02/09/2006
Last updated
07/21/2022
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