Provider Demographics
NPI:1518562917
Name:LOMAX-MORGAN, ELLEN STARR
Entity Type:Individual
Prefix:
First Name:ELLEN
Middle Name:STARR
Last Name:LOMAX-MORGAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:827 E BROOKLINE ST
Mailing Address - Street 2:
Mailing Address - City:WINSTON SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27107-3301
Mailing Address - Country:US
Mailing Address - Phone:336-986-1959
Mailing Address - Fax:843-799-2048
Practice Address - Street 1:827 E BROOKLINE ST
Practice Address - Street 2:
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27107-3301
Practice Address - Country:US
Practice Address - Phone:336-986-1959
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-02
Last Update Date:2023-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC3400929113OtherNNAAP