MEDICARE: CHRIS L LOMAN M.D.

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	207P00000X	Emergency Medicine Physician	01035445A	IN
2	207Q00000X	Family Medicine Physician	01035445A	IN

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	:	1679576789
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRIS L LOMAN M.D.

Provider Business Mailing Address
First Line	:	30 W RAMPART ST
Second Line	:	STE 200
City	:	SHELBYVILLE
State	:	IN
Zip	:	46176-8846
Country	:	US
Telephone Number	:	317-398-0121
Fax Number	:	317-398-0538

Provider Business Practice Location Address
First Line	:	2451 INTELLIPLEX DR STE 260
Second Line	:
City	:	SHELBYVILLE
State	:	IN
Zip	:	46176-8580
Country	:	US
Telephone Number	:	317-398-0121
Fax Number	:	317-398-0538

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

Provider Enumeration Date	:	05/23/2005
Last Update Date	:	12/07/2023

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Directions to “ CHRIS L LOMAN M.D.” Practice Location

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