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Individual

TALIA RENEA LOMAX

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PMHNP-BC

Contact information

Practice address
6805 IL ROUTE 162, SUITE 201, MARYVILLE, IL 62062
(618) 288-5019
(618) 288-5059
Mailing address
6805 IL 162 STE 201, MARYVILLE, IL 62062
(618) 671-4800

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
209.032530
IL

Other

Enumeration date
06/18/2025
Last updated
01/27/2026
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