# JACK LOMANO MD

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1740645357
- **Authorized official:** JACK M LOMANO MD (PHYSICIAN)
- **Authorized official phone:** (239) 470-8809

## Contact information

- **Practice address:** 15644 CALOOSA CREEK CIR, FORT MYERS, FL 33908-6736
- **Practice address phone:** (239) 470-8809
- **Practice address fax:** (239) 236-3900
- **Mailing address:** 15644 CALOOSA CREEK CIR, FORT MYERS, FL 33908-6736
- **Mailing address phone:** (239) 470-8809
- **Mailing address fax:** (239) 236-3900

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM2500X | Medical Specialty Clinic/Center | ME33323 | FL | Yes |

## Other

- **Enumeration date:** 12/24/2015
- **Last updated:** 12/24/2015