Provider Demographics
NPI:1568544435
Name:LOMAX HOMIER, JULIETTE (MD)
Entity Type:Individual
Prefix:DR
First Name:JULIETTE
Middle Name:
Last Name:LOMAX HOMIER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:JULIETTE
Other - Middle Name:
Other - Last Name:LOMAX
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1304 N LAWNWOOD CIR
Mailing Address - Street 2:
Mailing Address - City:FORT PIERCE
Mailing Address - State:FL
Mailing Address - Zip Code:34950
Mailing Address - Country:US
Mailing Address - Phone:772-489-6636
Mailing Address - Fax:772-489-5749
Practice Address - Street 1:1304 N LAWNWOOD CIR
Practice Address - Street 2:
Practice Address - City:FORT PIERCE
Practice Address - State:FL
Practice Address - Zip Code:34950
Practice Address - Country:US
Practice Address - Phone:772-489-6636
Practice Address - Fax:772-489-5749
Is Sole Proprietor?:No
Enumeration Date:2006-10-20
Last Update Date:2011-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0048841207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL043312800Medicaid
FL043312800Medicaid
D50915Medicare UPIN