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Individual

MRS. ANDREA A LOMAX

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
L.P.N

Contact information

Practice address
16306 CLEARVIEW AVE, CLEVELAND, OH 44128-3710
(216) 475-1881
Mailing address
16306 CLEARVIEW AVE, CLEVELAND, OH 44128-3710
(216) 475-1881

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
065358
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2332710
INDEPENDENT PROVIDER
OH
Enumeration date
05/27/2007
Last updated
07/08/2007
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