Provider Demographics
NPI:1609585389
Name:LOMAX, WHITNEY DAWN (RN)
Entity type:Individual
Prefix:
First Name:WHITNEY
Middle Name:DAWN
Last Name:LOMAX
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9031 E 67TH PL
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74133-2209
Mailing Address - Country:US
Mailing Address - Phone:918-402-6242
Mailing Address - Fax:
Practice Address - Street 1:9031 E 67TH PL
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74133-2209
Practice Address - Country:US
Practice Address - Phone:918-402-6242
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-11-21
Last Update Date:2022-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OKR0106731163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse