Provider Demographics
NPI:1346274024
Name:LOMAN, JANE V (MD)
Entity Type:Individual
Prefix:DR
First Name:JANE
Middle Name:V
Last Name:LOMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:80 GRAND AVE STE 700
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94612-3744
Mailing Address - Country:US
Mailing Address - Phone:510-893-4318
Mailing Address - Fax:510-893-1108
Practice Address - Street 1:80 GRAND AVE STE 700
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94612-3744
Practice Address - Country:US
Practice Address - Phone:510-893-4318
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-10
Last Update Date:2008-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA95685207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A956850OtherMEDI-CAL PPIN #
CAI56415Medicare UPIN
CAWA95685AMedicare ID - Type Unspecified