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Contact Information

JITKA LOM, MD
280 PALE SAN VITORES RD
TAMUNING, GU96913-3615
 Phone: 671-647-4542
 Fax: 671-647-4558
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for JITKA LOM · (Female)

NPI Number 1790754679
Status Active
Credentials MD
Entity Individual
Enumeration date 03/14/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Not specified
Identifiers
  • GU License # MOO1288
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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