Provider Demographics
NPI:1003669425
Name:THOMAN-LOMAS, MARJORIE (DC)
Entity Type:Individual
Prefix:
First Name:MARJORIE
Middle Name:
Last Name:THOMAN-LOMAS
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19920 LITTLE CREEK RD
Mailing Address - Street 2:
Mailing Address - City:SONORA
Mailing Address - State:CA
Mailing Address - Zip Code:95370-9289
Mailing Address - Country:US
Mailing Address - Phone:209-588-0188
Mailing Address - Fax:
Practice Address - Street 1:19920 LITTLE CREEK RD
Practice Address - Street 2:
Practice Address - City:SONORA
Practice Address - State:CA
Practice Address - Zip Code:95370-9289
Practice Address - Country:US
Practice Address - Phone:209-588-0188
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-08
Last Update Date:2024-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA24847111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor