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Individual
SUSAN E. LOMAX
Active
Individual
SUSAN E. LOMAX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
117846
GA
363LP0200X
Pediatric Nurse Practitioner
Primary
RN117846
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000874057I
—
GA
01
—
11194873828
NPI
GA
01
—
818552480A
MEDICAID PAYEE ID
GA
05
—
818552480A
—
GA
Enumeration date
01/08/2007
Last updated
08/01/2012
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