Individual
LAWRENCE D. LOEHLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
210 E GRAY ST, STE 700, LOUISVILLE, KY 40202-3900
(502) 629-5400
(502) 629-5492
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 272-5100
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
19843
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000350642
ANTHEM - NMA
—
01
—
009371
SIHO - NMA
—
05
—
100374290
—
IN
01
—
1055979
PASSPORT - NMA
—
01
—
1183271
CHA / NMA
—
01
—
2433821000
PAD - NMA
—
01
—
2529093001
CIGNA / NMA
—
01
—
50023127
PASSPORT- NORTON INPATIENT SPECIALISTS
KY
05
—
64198435
—
KY
01
—
P00268840
RRMCR - NMA
KY
Enumeration date
04/17/2006
Last updated
03/20/2019
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