Healthcare Provider Details

I. General information

NPI: 1619400421
Provider Name (Legal Business Name): STEPHANIE LOMBARDI DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/07/2017
Last Update Date: 09/26/2023
Certification Date: 09/26/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7435 SISTERS GRV STE 300
COLORADO SPRINGS CO
80923-2630
US

IV. Provider business mailing address

402 N TEJON ST STE 200
COLORADO SPRINGS CO
80903-1155
US

V. Phone/Fax

Practice location:
  • Phone: 719-633-3850
  • Fax: 719-227-0840
Mailing address:
  • Phone: 719-633-3850
  • Fax: 719-633-3850

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberDR.0064318
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: