Provider Demographics
NPI:1487894622
Name:LOMAN, KATHARINE I (RD, LDN)
Entity type:Individual
Prefix:MS
First Name:KATHARINE
Middle Name:I
Last Name:LOMAN
Suffix:
Gender:F
Credentials:RD, LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1245 HAILSTONE DR
Mailing Address - Street 2:
Mailing Address - City:HEBER CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84032-3810
Mailing Address - Country:US
Mailing Address - Phone:630-240-7481
Mailing Address - Fax:
Practice Address - Street 1:1245 HAILSTONE DR
Practice Address - Street 2:
Practice Address - City:HEBER CITY
Practice Address - State:UT
Practice Address - Zip Code:84032-3810
Practice Address - Country:US
Practice Address - Phone:630-240-7481
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-28
Last Update Date:2020-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT9223567-4901133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered