Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YX0905X | Otolaryngology/Facial Plastic Surgery | 382188852 | MI |
NPI | 1942218177 |
---|---|
Provider Name | Dr. Paul E Lomeo |
First Address | Muskegon, MI 49444-3733 |
Second Address | Norton Shores, MI 49444-7789 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/08/2006 |
Last Update Date | 15/07/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2787449 | (05) | MI |
F10387 | (02) | MI |