IndividualActive
Jitka Lom, M.D.
NPI 1790754679 · Family Medicine Physician · Tamuning, GU
Provider details
- NPI number
- 1790754679
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- License
- MOO1288 (GU)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
280 Pale San Vitores Rd
Tamuning, GU 96913-3615
Phone: (671) 647-4542
Fax: (671) 647-4558
Mailing address
280 Pale San Vitores Rd
Tamuning, GU 96913-3615
Registry dates
- Enumerated
- 2006-03-14
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.