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NPI Code Detail

MEDICARE: MIA LOMBARDO PLPC

MEDICARE: MIA LOMBARDO PLPC
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
1101YP2500XProfessional Counselor2025018463MO

General Provider Information

NPI Number : 1942182175
Entity Type Code : Individual
Provider Name (Legal Business Name) : MIA LOMBARDO PLPC
Provider Business Mailing Address
First Line : 2650 OLIVE ST
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63103-1489
Country : US
Telephone Number : 314-371-6500
Fax Number : 314-842-2552
Provider Business Practice Location Address
First Line : 12141 LADUE RD
Second Line :
City : CREVE COEUR
State : MO
Zip : 63141-8120
Country : US
Telephone Number : 314-898-0100
Fax Number : 314-842-2552
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/21/2025
Last Update Date : 07/21/2025

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Directions to “ MIA LOMBARDO PLPC” Practice Location

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