Individual
LOUISA LOMAX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1801 E STATE ROUTE K, WEST PLAINS, MO 65791
(471) 264-2454
Mailing address
1801 E STATE ROUTE K, WEST PLAINS, MO 65775
(417) 257-2454
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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