Healthcare Provider Details

I. General information

NPI: 1639121700
Provider Name (Legal Business Name): DR. KATHRYN D LOMBARDO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/17/2006
Last Update Date: 09/30/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

210 9TH ST SE
ROCHESTER MN
55904-6425
US

IV. Provider business mailing address

210 9TH ST SE
ROCHESTER MN
55904-6425
US

V. Phone/Fax

Practice location:
  • Phone: 507-288-3443
  • Fax:
Mailing address:
  • Phone: 507-288-3443
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0805X
TaxonomyGeriatric Psychiatry Physician
License Number31610
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: