Provider Demographics
NPI:1699704791
Name:THE LOMAX GROUP PC
Entity type:Organization
Organization Name:THE LOMAX GROUP PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:LEONARD
Authorized Official - Middle Name:D
Authorized Official - Last Name:LOMAX
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:515-223-4408
Mailing Address - Street 1:230 SOUTH 68TH STREET
Mailing Address - Street 2:SUITE 1209
Mailing Address - City:WEST DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50266-1443
Mailing Address - Country:US
Mailing Address - Phone:515-223-4408
Mailing Address - Fax:515-223-4385
Practice Address - Street 1:230 S 68TH ST
Practice Address - Street 2:SUITE 1209
Practice Address - City:WEST DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50266-8176
Practice Address - Country:US
Practice Address - Phone:515-223-4408
Practice Address - Fax:515-223-4385
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA34932207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA1283275Medicaid
IAH59703Medicare UPIN
IAI11189Medicare ID - Type Unspecified