Basic Information
Provider Information
NPI: 1972703924
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: LOHMANN
FirstName: PABLO
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1 BAYLOR PLZ
Address2:  
City: HOUSTON
State: TX
PostalCode: 770303411
CountryCode: US
TelephoneNumber: 8328261380
FaxNumber:  
Practice Location
Address1: 6621 FANNIN ST
Address2: SUITE W6104
City: HOUSTON
State: TX
PostalCode: 770302303
CountryCode: US
TelephoneNumber: 8328261380
FaxNumber:  
Other Information
ProviderEnumerationDate: 07/18/2007
LastUpdateDate: 08/07/2013
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2080N0001XP7150TXY Allopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal Medicine

No ID Information.


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