Provider Demographics
NPI:1295898757
Name:LOMAKO, DAWN M (PHARMD)
Entity type:Individual
Prefix:DR
First Name:DAWN
Middle Name:M
Last Name:LOMAKO
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:2035 SELWAY PL NW
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87120-1811
Mailing Address - Country:US
Mailing Address - Phone:505-839-1999
Mailing Address - Fax:505-839-1999
Practice Address - Street 1:2035 SELWAY PL NW
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87120-1811
Practice Address - Country:US
Practice Address - Phone:505-839-1999
Practice Address - Fax:505-839-1999
Is Sole Proprietor?:No
Enumeration Date:2006-12-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NMRP00005861183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist