Provider Demographics
NPI:1083423032
Name:LOMO-AIDOO, LUCIA (RN)
Entity type:Individual
Prefix:
First Name:LUCIA
Middle Name:
Last Name:LOMO-AIDOO
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:LUCIA
Other - Middle Name:
Other - Last Name:LOMO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:3001 SE 95TH ST
Mailing Address - Street 2:
Mailing Address - City:MOORE
Mailing Address - State:OK
Mailing Address - Zip Code:73160-9196
Mailing Address - Country:US
Mailing Address - Phone:405-361-2307
Mailing Address - Fax:
Practice Address - Street 1:3001 SE 95TH ST
Practice Address - Street 2:
Practice Address - City:MOORE
Practice Address - State:OK
Practice Address - Zip Code:73160-9196
Practice Address - Country:US
Practice Address - Phone:405-361-2307
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-04
Last Update Date:2025-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK201229163WC0200X, 163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WC0200XNursing Service ProvidersRegistered NurseCritical Care Medicine
No163W00000XNursing Service ProvidersRegistered NurseGroup - Single Specialty