Provider Demographics
NPI:1487915518
Name:LOHMAN ANESTHESIA ASSOCIATES LLC
Entity type:Organization
Organization Name:LOHMAN ANESTHESIA ASSOCIATES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:V
Authorized Official - Last Name:NATTAKOM
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:575-496-3003
Mailing Address - Street 1:PO BOX 2707
Mailing Address - Street 2:
Mailing Address - City:LAS CRUCES
Mailing Address - State:NM
Mailing Address - Zip Code:88004-2707
Mailing Address - Country:US
Mailing Address - Phone:575-522-7697
Mailing Address - Fax:
Practice Address - Street 1:4381 E LOHMAN AVE STE A
Practice Address - Street 2:
Practice Address - City:LAS CRUCES
Practice Address - State:NM
Practice Address - Zip Code:88011-8255
Practice Address - Country:US
Practice Address - Phone:575-522-7697
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-05
Last Update Date:2012-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty