Provider Demographics
NPI:1962579565
Name:LOHMAN, ERNEST ALAN (RPT)
Entity type:Individual
Prefix:MR
First Name:ERNEST
Middle Name:ALAN
Last Name:LOHMAN
Suffix:
Gender:M
Credentials:RPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27432 ALISO CREEK RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:ALISO VIEJO
Mailing Address - State:CA
Mailing Address - Zip Code:92656-5337
Mailing Address - Country:US
Mailing Address - Phone:949-448-0872
Mailing Address - Fax:949-448-0984
Practice Address - Street 1:27432 ALISO CREEK RD
Practice Address - Street 2:SUITE 100
Practice Address - City:ALISO VIEJO
Practice Address - State:CA
Practice Address - Zip Code:92656-5337
Practice Address - Country:US
Practice Address - Phone:949-448-0872
Practice Address - Fax:949-448-0984
Is Sole Proprietor?:No
Enumeration Date:2006-11-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT16254225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist