Provider Demographics
NPI:1487758108
Name:ROHRA, LAKHU J (MD)
Entity type:Individual
Prefix:DR
First Name:LAKHU
Middle Name:J
Last Name:ROHRA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:LAKHU
Other - Middle Name:J
Other - Last Name:ROHRA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:3802 21ST ST
Mailing Address - Street 2:SUITE C
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79410-1011
Mailing Address - Country:US
Mailing Address - Phone:806-785-2778
Mailing Address - Fax:806-785-2781
Practice Address - Street 1:3802 21ST ST
Practice Address - Street 2:SUITE C
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79410-1011
Practice Address - Country:US
Practice Address - Phone:806-785-2778
Practice Address - Fax:806-785-2781
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-12
Last Update Date:2018-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF3314207R00000X
TXF-3314207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX035364101Medicaid
B25991Medicare UPIN
TX035364101Medicaid