Provider Demographics
NPI:1861540155
Name:LOMAX, TRACY L (LAC, MAOM)
Entity type:Individual
Prefix:MS
First Name:TRACY
Middle Name:L
Last Name:LOMAX
Suffix:
Gender:F
Credentials:LAC, MAOM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2340 VAN BUREN ST
Mailing Address - Street 2:
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97405-2169
Mailing Address - Country:US
Mailing Address - Phone:541-510-3110
Mailing Address - Fax:541-344-5321
Practice Address - Street 1:1695 JEFFERSON ST
Practice Address - Street 2:
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97402-4063
Practice Address - Country:US
Practice Address - Phone:541-510-3110
Practice Address - Fax:541-344-5321
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-05
Last Update Date:2009-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORAC000689171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist