Provider Demographics
NPI:1639406176
Name:LOMAX, ROBBIN CATHLEEN (PA-C)
Entity Type:Individual
Prefix:
First Name:ROBBIN
Middle Name:CATHLEEN
Last Name:LOMAX
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:32800 TITUS HILL LN
Mailing Address - Street 2:
Mailing Address - City:AVON LAKE
Mailing Address - State:OH
Mailing Address - Zip Code:44012-2367
Mailing Address - Country:US
Mailing Address - Phone:440-653-1471
Mailing Address - Fax:440-930-2236
Practice Address - Street 1:9500 EUCLID AVE # E19
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44195-2269
Practice Address - Country:US
Practice Address - Phone:216-444-0181
Practice Address - Fax:216-445-5650
Is Sole Proprietor?:No
Enumeration Date:2009-11-04
Last Update Date:2019-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH50.001026207P00000X
OH50-001026363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHLOPA34331Medicare PIN