MEDICARE: LOMBARDO CHIROPRACTIC, P.C.

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	111N00000X	Chiropractor	08002194A	IN

General Provider Information

NPI Number	:	1689888760
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LOMBARDO CHIROPRACTIC, P.C.

Provider Business Mailing Address
First Line	:	4337 FLAGSTAFF CV
Second Line	:
City	:	FORT WAYNE
State	:	IN
Zip	:	46815-4400
Country	:	US
Telephone Number	:	260-485-9300
Fax Number	:	260-485-9336

Provider Business Practice Location Address
First Line	:	4337 FLAGSTAFF CV
Second Line	:
City	:	FORT WAYNE
State	:	IN
Zip	:	46815-4400
Country	:	US
Telephone Number	:	260-485-9300
Fax Number	:	260-485-9336

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. LISA RENE LOMBARDO
Credential	:	D.C.
Telephone Number	:	260-485-9300

Provider Enumeration Date	:	05/09/2007
Last Update Date	:	08/22/2020

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Directions to “LOMBARDO CHIROPRACTIC, P.C. ” Practice Location

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