Individual
CHOOMSANG LOHAVICHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1123 LONGLEAF DR, FAYETTEVILLE, NC 28305-5278
(910) 323-5980
Mailing address
1123 LONGLEAF DR, FAYETTEVILLE, NC 28305-5278
(910) 323-5980
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
18461
NC
Other
Enumeration date
03/03/2009
Last updated
03/03/2009
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