Healthcare Provider Details

I. General information

NPI: 1639406176
Provider Name (Legal Business Name): ROBBIN CATHLEEN LOMAX PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/04/2009
Last Update Date: 08/02/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9500 EUCLID AVE # E19
CLEVELAND OH
44195-2269
US

IV. Provider business mailing address

32800 TITUS HILL LN
AVON LAKE OH
44012-2367
US

V. Phone/Fax

Practice location:
  • Phone: 216-444-0181
  • Fax: 216-445-5650
Mailing address:
  • Phone: 440-653-1471
  • Fax: 440-930-2236

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number50-001026
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number50.001026
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: