Provider Demographics
NPI:1386162139
Name:LOHMANN ENTERPRISES, LLC
Entity type:Organization
Organization Name:LOHMANN ENTERPRISES, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GAIL
Authorized Official - Middle Name:
Authorized Official - Last Name:LOHMANN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:530-677-4400
Mailing Address - Street 1:3350 COUNTRY CLUB DR STE 101
Mailing Address - Street 2:
Mailing Address - City:CAMERON PARK
Mailing Address - State:CA
Mailing Address - Zip Code:95682-8657
Mailing Address - Country:US
Mailing Address - Phone:530-677-4400
Mailing Address - Fax:530-564-1028
Practice Address - Street 1:3350 COUNTRY CLUB DR STE 101
Practice Address - Street 2:
Practice Address - City:CAMERON PARK
Practice Address - State:CA
Practice Address - Zip Code:95682-8657
Practice Address - Country:US
Practice Address - Phone:530-677-4400
Practice Address - Fax:530-564-1028
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-31
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA094700010253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care