Provider Demographics
NPI:1972506244
Name:LOMAN, LUSIANA (MD)
Entity Type:Individual
Prefix:DR
First Name:LUSIANA
Middle Name:
Last Name:LOMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14100 FIVAY RD
Mailing Address - Street 2:STE 250
Mailing Address - City:HUDSON
Mailing Address - State:FL
Mailing Address - Zip Code:34667-7151
Mailing Address - Country:US
Mailing Address - Phone:727-869-7822
Mailing Address - Fax:727-862-0934
Practice Address - Street 1:14100 FIVAY RD
Practice Address - Street 2:STE 250
Practice Address - City:HUDSON
Practice Address - State:FL
Practice Address - Zip Code:34667-7151
Practice Address - Country:US
Practice Address - Phone:727-869-7822
Practice Address - Fax:727-862-0934
Is Sole Proprietor?:No
Enumeration Date:2005-05-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0044520207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
D56016Medicare UPIN
FL51237ZMedicare ID - Type Unspecified
FL51237XMedicare ID - Type Unspecified
FL51237YMedicare ID - Type Unspecified