Active NPI
Laura Lea Lomax, M.D.
- Dermatology Physician
- Greensboro, NC
National Provider Identifier
1659340313
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 30980
- Practice address
- 2704 Saint Jude St
Greensboro, NC 27405-3670 - Phone
- (336) 954-7546
- Fax
- (336) 235-4018
- NPI assigned
- Mar 15, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 30980 | NC | Primary |
Addresses
Primary practice location
2704 Saint Jude St
Greensboro, NC 27405-3670
Mailing address
2704 Saint Jude St
Greensboro, NC 27405-3670
Phone (336) 954-7546
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8926114 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142380800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1388707200000",
"number": "1659340313",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2704 SAINT JUDE ST",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274053670",
"telephone_number": "336-954-7546",
"fax_number": "336-235-4018"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2704 SAINT JUDE ST",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274053670",
"telephone_number": "336-954-7546",
"fax_number": "336-235-4018"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOMAX",
"first_name": "LAURA",
"middle_name": "LEA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-15",
"last_updated": "2014-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "NC",
"license": "30980",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8926114",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Greensboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.