Provider Demographics
NPI:1942527700
Name:LOMAX, KERRI LYNN
Entity Type:Individual
Prefix:
First Name:KERRI
Middle Name:LYNN
Last Name:LOMAX
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 1:820 ACORN DR
Mailing Address - Street 2:
Mailing Address - City:SLEEPY HOLLOW
Mailing Address - State:IL
Mailing Address - Zip Code:60118-2659
Mailing Address - Country:US
Mailing Address - Phone:773-844-9279
Mailing Address - Fax:
Practice Address - Street 1:820 ACORN DR
Practice Address - Street 2:
Practice Address - City:SLEEPY HOLLOW
Practice Address - State:IL
Practice Address - Zip Code:60118-2659
Practice Address - Country:US
Practice Address - Phone:773-844-9279
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-03
Last Update Date:2010-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst