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NPI Code Detail

MEDICARE: SOLOMON LOMO

MEDICARE: SOLOMON LOMO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LG0600XGerontology Nurse PractitionerAPRN.CNP.18496OH

General Provider Information

NPI Number : 1912362138
Entity Type Code : Individual
Provider Name (Legal Business Name) : SOLOMON LOMO
Provider Business Mailing Address
First Line : 4600 MONTGOMERY RD STE 400
Second Line :
City : CINCINNATI
State : OH
Zip : 45212-2600
Country : US
Telephone Number : 833-510-4357
Fax Number :
Provider Business Practice Location Address
First Line : 4660 ROBERTS RD
Second Line :
City : COLUMBUS
State : OH
Zip : 43228-9671
Country : US
Telephone Number : 833-510-4357
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/15/2015
Last Update Date : 04/04/2024

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Directions to “ SOLOMON LOMO ” Practice Location

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