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Earl Wade Lomax
Student in an Organized Health Care Education/Training Program in Jackson, Tennessee
NPI 1851909972

Earl Wade Lomax is a Student in an Organized Health Care Education/Training Program based in Jackson, TN. Earl Wade Lomax practices in Jackson, TN. The NPI Number for Earl Wade Lomax is 1851909972 and holds a License No. (Tennessee).

The current practice location address for Earl Wade Lomax is 620 Skyline Dr, Jackson, TN and can be reached out via phone at 731-541-7072.

Location: 620 Skyline Dr, Jackson, TN, 38305-8795
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1851909972
Provider Name
Earl Wade Lomax
Credential
Provider Entity Type
Individual
Gender
Male
Address
620 Skyline Dr, Jackson, TN, 38305-8795
Phone Number
731-541-7072
Fax Number
Provider Enumeration Date
07/15/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
620 Skyline Dr
City
Jackson
State
Tennessee
Zip
38301-3923
Phone Number
731-541-7072
Fax Number
person
Provider Business Mailing Address Details
Address
620 Skyline Dr
City
Jackson
State
Tennessee
Zip
38301-3923
Phone Number
731-541-7072
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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