Individual
DR. CHARLES EDWARD LOHR III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4411 THE 25 WAY NE, SUITE 150, ALBUQUERQUE, NM 87109-5857
(505) 332-6900
(505) 332-6921
Mailing address
4411 THE 25 WAY NE, SUITE 150, ALBUQUERQUE, NM 87109-5857
(505) 332-6900
(505) 332-6921
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
183820
PA
2085R0204X
Vascular & Interventional Radiology Physician
47749
CO
2085R0204X
Vascular & Interventional Radiology Physician
Primary
MD2010-0484
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
83852
—
NM
Enumeration date
04/08/2009
Last updated
03/12/2014
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