Provider Demographics
NPI:1780973214
Name:LOMONACO, RACHAEL KRUGER (DC)
Entity type:Individual
Prefix:DR
First Name:RACHAEL
Middle Name:KRUGER
Last Name:LOMONACO
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2840 KELLER SPRINGS RD
Mailing Address - Street 2:#901
Mailing Address - City:CARROLLTON
Mailing Address - State:TX
Mailing Address - Zip Code:75006-4829
Mailing Address - Country:US
Mailing Address - Phone:972-416-3439
Mailing Address - Fax:972-416-3422
Practice Address - Street 1:2840 KELLER SPRINGS RD
Practice Address - Street 2:#901
Practice Address - City:CARROLLTON
Practice Address - State:TX
Practice Address - Zip Code:75006-4829
Practice Address - Country:US
Practice Address - Phone:972-416-3439
Practice Address - Fax:972-416-3422
Is Sole Proprietor?:No
Enumeration Date:2011-04-05
Last Update Date:2011-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX7310111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor