Provider Demographics
NPI:1467553453
Name:LOMARTRA, CATHERINE M (DC)
Entity Type:Individual
Prefix:
First Name:CATHERINE
Middle Name:M
Last Name:LOMARTRA
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 1:470 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:BRANFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06405-2943
Mailing Address - Country:US
Mailing Address - Phone:203-488-0073
Mailing Address - Fax:203-488-0452
Practice Address - Street 1:470 E MAIN ST
Practice Address - Street 2:
Practice Address - City:BRANFORD
Practice Address - State:CT
Practice Address - Zip Code:06405-2943
Practice Address - Country:US
Practice Address - Phone:203-488-0073
Practice Address - Fax:203-488-0452
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-25
Last Update Date:2012-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT682111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
350000464Medicare ID - Type Unspecified
CTT93470Medicare UPIN