Provider Demographics
NPI:1134327109
Name:LOMAN, JEANNETTE A (DO)
Entity Type:Individual
Prefix:DR
First Name:JEANNETTE
Middle Name:A
Last Name:LOMAN
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:180 PARKWOOD DRIVE
Mailing Address - Street 2:
Mailing Address - City:ELKIN
Mailing Address - State:NC
Mailing Address - Zip Code:28621
Mailing Address - Country:US
Mailing Address - Phone:336-527-7463
Mailing Address - Fax:336-527-7189
Practice Address - Street 1:180 PARKWOOD DRIVE
Practice Address - Street 2:
Practice Address - City:ELKIN
Practice Address - State:NC
Practice Address - Zip Code:28621
Practice Address - Country:US
Practice Address - Phone:336-527-7463
Practice Address - Fax:336-527-7189
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-10
Last Update Date:2010-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2009-01152207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine