Individual
JENNIFER LOHKAMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
4735 OGLETOWN STANTON RD, MAP II, SUITES 1201 & 1205, NEWARK, DE 19713-2072
(302) 733-1980
(302) 733-1986
Mailing address
P.O. BOX 30170, WILMINGTON, DE 19805-7170
(302) 623-7150
(320) 623-7374
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C5-0005943
DE
363AS0400X
Surgical Physician Assistant
C5-0005943
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C5-0005943
PROFESSIONAL LICENSE
DE
Enumeration date
12/04/2006
Last updated
08/11/2008
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