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NPI Code Detail

MEDICARE: ERIC LOMBARDO

MEDICARE: ERIC LOMBARDO
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
1235Z00000XSpeech-Language PathologistSP-850NV
2235Z00000XSpeech-Language PathologistSLP007966GA

General Provider Information

NPI Number : 1801153135
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERIC LOMBARDO
Provider Business Mailing Address
First Line : 1805 RAYMER PL
Second Line :
City : AUBURN
State : AL
Zip : 36830-2187
Country : US
Telephone Number : 334-707-8786
Fax Number :
Provider Business Practice Location Address
First Line : 6135 ROOSEVELT HWY
Second Line :
City : WARM SPRINGS
State : GA
Zip : 31830-2757
Country : US
Telephone Number : 706-655-5636
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/11/2012
Last Update Date : 01/10/2013

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Directions to “ ERIC LOMBARDO ” Practice Location

Language Start Address Practice Location
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