MEDICARE: DR. JULIE NOELLE LOMONACO D.C.

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
1	111N00000X	Chiropractor	2301008082	MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	11282202	OTHER	MI	CAQH ID

General Provider Information

NPI Number	:	1275574006
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JULIE NOELLE LOMONACO D.C.

Provider Business Mailing Address
First Line	:	706 TERNES RD
Second Line	:
City	:	TECUMSEH
State	:	MI
Zip	:	49286-1031
Country	:	US
Telephone Number	:	734-673-8172
Fax Number	:

Provider Business Practice Location Address
First Line	:	405 E CHICAGO BLVD
Second Line	:
City	:	TECUMSEH
State	:	MI
Zip	:	49286-1513
Country	:	US
Telephone Number	:	517-423-2639
Fax Number	:	517-426-0639

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/10/2006
Last Update Date	:	07/08/2007

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Directions to “ DR. JULIE NOELLE LOMONACO D.C.” Practice Location

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