Joseph B Bonomini, PA-C
Physician Assistant in Lawrenceburg, IN. Individual provider (NPI-1).
NPI number1225439698
StatusActive
Last updated in NPPESOct 14, 2026
Details
- NPI
- 1225439698
- Entity type
- Individual (NPI-1)
- Name
- Mr. Joseph B Bonomini
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 4, 2014
- Certification date
- Oct 14, 2026
- Last updated
- Oct 14, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 10001721A | IN | Yes |
Practice location
605 Wilson Creek RdLawrenceburg, IN 47025-2506
Phone 859-301-2663 · Fax 859-817-7857
Mailing address
560 S Loop RdEdgewood, KY 41017-3405
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