Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YX0905X | Otolaryngology/Facial Plastic Surgery | DO1487 | NV |
NPI | 1306999008 |
---|---|
Provider Name | Dr. Randall S Lomax |
First Address | Las Vegas, NV 89149-4411 |
Second Address | Las Vegas, NV 89149-4595 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/01/2007 |
Last Update Date | 18/01/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1932338258 | (05) | NV |
I71306 | (02) |