Provider Demographics
NPI:1376078311
Name:LOMANTO, LORI (LPC)
Entity Type:Individual
Prefix:MS
First Name:LORI
Middle Name:
Last Name:LOMANTO
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19-21 BELMONT AVE
Mailing Address - Street 2:
Mailing Address - City:DOVER
Mailing Address - State:NJ
Mailing Address - Zip Code:07801-4107
Mailing Address - Country:US
Mailing Address - Phone:973-361-5555
Mailing Address - Fax:973-361-5290
Practice Address - Street 1:2200 STATE ROUTE 10
Practice Address - Street 2:STE 104
Practice Address - City:MORRIS PLAINS
Practice Address - State:NJ
Practice Address - Zip Code:07950
Practice Address - Country:US
Practice Address - Phone:973-567-8789
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-04-27
Last Update Date:2023-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37AC00334800101YA0400X
NJ37PC00679900101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0419095Medicaid
NJ0356221Medicaid
NJ0353965Medicaid