MEDICARE: WILLIAM ANTHONY LOMAX

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	363LA2100X	Acute Care Nurse Practitioner	273740	TN

General Provider Information

NPI Number	:	1467320648
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WILLIAM ANTHONY LOMAX

Provider Business Mailing Address
First Line	:	1414 DAN BROWN DR
Second Line	:
City	:	CLARKSVILLE
State	:	TN
Zip	:	37042-1339
Country	:	US
Telephone Number	:	815-401-3905
Fax Number	:

Provider Business Practice Location Address
First Line	:	1414 DAN BROWN DR
Second Line	:
City	:	CLARKSVILLE
State	:	TN
Zip	:	37042-1339
Country	:	US
Telephone Number	:	815-401-3905
Fax Number	:

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

Provider Enumeration Date	:	10/28/2025
Last Update Date	:	04/07/2026

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Directions to “ WILLIAM ANTHONY LOMAX ” Practice Location

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