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General NPI Number Information
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NPI Number | 1629235775
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Entity Type | Organization
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Legal Business Name | JOHN J LOMONACO MD PA
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Dates
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Enumeration Date | 05/16/2008
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Last Update Date | 06/18/2024
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Provider Practice Location Address
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Address Line | 17226 MERCURY DR STE 200
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City | HOUSTON
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State | TX
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Zip | 77058-2793
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Country | US
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Telephone | 713-526-5550
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Fax | 713-526-5563
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Provider Business Mailing Address
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Address Line | 17226 MERCURY DR STE 200
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City | HOUSTON
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State | TX
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Zip | 77058-2793
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Country | US
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Telephone | 713-526-5550
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Fax | 713-526-5563
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Authorized Official
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Title or Position | OWNER
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Name | DR. JOHN J LOMONACO
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Credential | MD PA
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Telephone | 713-526-5550
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2086S0122X
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Taxonomy Name | Plastic and Reconstructive Surgery Physician
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License Number | J6013
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License Number State | TX
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