MEDICARE: DR. RANDALL S LOMAX DO

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	207YX0905X	Otolaryngology/Facial Plastic Surgery Physician	DO1487	NV

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1306999008
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RANDALL S LOMAX DO

Provider Business Mailing Address
First Line	:	6955 N DURANGO DR STE 1115-363
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89149-4411
Country	:	US
Telephone Number	:	702-834-5886
Fax Number	:	702-834-5752

Provider Business Practice Location Address
First Line	:	6850 N DURANGO DR
Second Line	:	SUITE 314
City	:	LAS VEGAS
State	:	NV
Zip	:	89149-4595
Country	:	US
Telephone Number	:	702-834-5886
Fax Number	:	702-834-5752

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

Provider Enumeration Date	:	01/18/2007
Last Update Date	:	01/18/2019

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Directions to “ DR. RANDALL S LOMAX DO” Practice Location

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