Provider Demographics
NPI:1245505171
Name:LOMAN, LEXIE LEA (MHR, LPC)
Entity type:Individual
Prefix:
First Name:LEXIE
Middle Name:LEA
Last Name:LOMAN
Suffix:
Gender:F
Credentials:MHR, LPC
Other - Prefix:
Other - First Name:LEXIE
Other - Middle Name:
Other - Last Name:GARIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MHR, LPC
Mailing Address - Street 1:8308 LAMBERT WAY
Mailing Address - Street 2:
Mailing Address - City:EDMOND
Mailing Address - State:OK
Mailing Address - Zip Code:73034-7447
Mailing Address - Country:US
Mailing Address - Phone:405-564-2525
Mailing Address - Fax:
Practice Address - Street 1:10404 VINEYARD BLVD STE H200
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73120-3715
Practice Address - Country:US
Practice Address - Phone:405-564-2525
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-10
Last Update Date:2024-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK5849101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK200427560BMedicaid