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Individual

LOUISA LOMAX

Active
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Individual

LOUISA LOMAX

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
2004029220
MO
207Q00000X
Family Medicine Physician
2004029220
MO
207R00000X
Internal Medicine Physician
Primary
2004029220
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
156256001
AR
Enumeration date
11/09/2006
Last updated
03/26/2013
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