Provider Demographics
NPI:1841963410
Name:LOMAS, VANESSA JILL (MM, MTBC, NICUMT)
Entity type:Individual
Prefix:MRS
First Name:VANESSA
Middle Name:JILL
Last Name:LOMAS
Suffix:
Gender:F
Credentials:MM, MTBC, NICUMT
Other - Prefix:MISS
Other - First Name:VANESSA
Other - Middle Name:JILL
Other - Last Name:THOMAS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MM, MTBC, NICUMT
Mailing Address - Street 1:113 FEDERAL ST
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:LA
Mailing Address - Zip Code:70506-2903
Mailing Address - Country:US
Mailing Address - Phone:601-543-7798
Mailing Address - Fax:
Practice Address - Street 1:345 DOUCET RD STE 220
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:LA
Practice Address - Zip Code:70503-3490
Practice Address - Country:US
Practice Address - Phone:601-543-7798
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-29
Last Update Date:2021-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist