Provider Demographics
NPI:1871160010
Name:LOHRE, RYAN STEFAN (MD)
Entity type:Individual
Prefix:MR
First Name:RYAN
Middle Name:STEFAN
Last Name:LOHRE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:55 FRUIT STREET
Mailing Address - Street 2:BLDG YAWKEY 3
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02114
Mailing Address - Country:US
Mailing Address - Phone:857-277-8987
Mailing Address - Fax:617-724-3846
Practice Address - Street 1:55 FRUIT STREET
Practice Address - Street 2:BLDG YAWKEY 3
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02114
Practice Address - Country:US
Practice Address - Phone:617-724-7300
Practice Address - Fax:617-724-3846
Is Sole Proprietor?:No
Enumeration Date:2021-06-07
Last Update Date:2024-01-31
Deactivation Date:2022-11-30
Deactivation Code:
Reactivation Date:2022-11-30
Provider Licenses
StateLicense IDTaxonomies
MA295062207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery