Provider Demographics
NPI:1699404855
Name:LOMAX, AAMIRA
Entity type:Individual
Prefix:
First Name:AAMIRA
Middle Name:
Last Name:LOMAX
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16782 VON KARMAN AVE STE 11
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92606-2417
Mailing Address - Country:US
Mailing Address - Phone:855-223-7123
Mailing Address - Fax:619-374-7134
Practice Address - Street 1:1341 W HILL AVE
Practice Address - Street 2:
Practice Address - City:VALDOSTA
Practice Address - State:GA
Practice Address - Zip Code:31601-5235
Practice Address - Country:US
Practice Address - Phone:229-249-7730
Practice Address - Fax:619-374-7134
Is Sole Proprietor?:No
Enumeration Date:2022-06-05
Last Update Date:2025-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician