Lance Michael Dohogne, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2012027641 Issued in MO

Practice address

225 Physicians Park Ste 101
Poplar Bluff, MO 63901-3918

Phone

(573) 778-9348

NPI assigned

Sep 6, 2012

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Midwest Therapy Services

  • Physical Therapist
  • Poplar Bluff, MO
  • NPI 1013142892
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1346889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346889600000",
    "number": "1134478019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 PHYSICIANS PARK STE 101",
            "city": "POPLAR BLUFF",
            "state": "MO",
            "postal_code": "639013918",
            "telephone_number": "573-778-9348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 PHYSICIANS PARK STE 101",
            "city": "POPLAR BLUFF",
            "state": "MO",
            "postal_code": "639013918",
            "telephone_number": "573-778-9348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOHOGNE",
        "first_name": "LANCE",
        "middle_name": "MICHAEL",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-09-06",
        "last_updated": "2012-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2012027641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• DO Not Use
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• Stephane Rena Dobbs, FNP
• Misty Dawn Dodson
• Cynthia Lynn Dohogne, LCSW
• Donald R Jones Enterprises, LLC
• Keith Anthony Donnell II
• Linda J Doran II
• Dorothy M. Munch, D.O., LLC
• Cassondra Dowden

• Physical Therapist in Poplar Bluff, MO
• Providers in Poplar Bluff, MO by specialty
• Physical Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.