Healthcare Provider Details

I. General information

NPI: 1881137958
Provider Name (Legal Business Name): LAURA LOMBARDI LICSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/22/2016
Last Update Date: 11/22/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

30 TEMPLE ST STE 105
NASHUA NH
03060-3483
US

IV. Provider business mailing address

30 TEMPLE ST STE 105
NASHUA NH
03060-3483
US

V. Phone/Fax

Practice location:
  • Phone: 603-880-9880
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number1970
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: