Provider Demographics
NPI:1255583340
Name:LOMONACO HEALTHCARE LLC
Entity type:Organization
Organization Name:LOMONACO HEALTHCARE LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:NOELLE
Authorized Official - Last Name:LOMONACO
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:517-423-2079
Mailing Address - Street 1:10 CAIRNS ST
Mailing Address - Street 2:
Mailing Address - City:TECUMSEH
Mailing Address - State:MI
Mailing Address - Zip Code:49286-1202
Mailing Address - Country:US
Mailing Address - Phone:517-423-2079
Mailing Address - Fax:517-423-2090
Practice Address - Street 1:10 CAIRNS ST
Practice Address - Street 2:
Practice Address - City:TECUMSEH
Practice Address - State:MI
Practice Address - Zip Code:49286-1202
Practice Address - Country:US
Practice Address - Phone:517-423-2079
Practice Address - Fax:517-423-2090
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-21
Last Update Date:2008-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2301008082111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty