MEDICARE: DR. STEPHANIE LOMBARDI DO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	DR.0064318	CO

General Provider Information

NPI Number	:	1619400421
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STEPHANIE LOMBARDI DO

Provider Business Mailing Address
First Line	:	402 N TEJON ST STE 200
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80903-1155
Country	:	US
Telephone Number	:	719-633-3850
Fax Number	:	719-633-3850

Provider Business Practice Location Address
First Line	:	7435 SISTERS GRV STE 300
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80923-2630
Country	:	US
Telephone Number	:	719-633-3850
Fax Number	:	719-227-0840

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/07/2017
Last Update Date	:	09/26/2023

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