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Individual
SHANNON LOMINAC
Active
Individual
SHANNON LOMINAC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6341
NC
225100000X
Physical Therapist
6412
TN
225100000X
Physical Therapist
7084
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
208822399A
—
GA
05
—
3400016
OUTPATIENT
NC
05
—
3407029
HOME HEALTH
NC
05
—
3654136
—
TN
05
—
7210297
WESTCARE IPP#
NC
05
—
7210532
MY IPP#
NC
Enumeration date
01/30/2006
Last updated
08/03/2024
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