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General NPI Number Information
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NPI Number | 1063578565
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Entity Type | Organization
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Legal Business Name | STANLEY A. LOBITZ MD MICHAEL F. LOMBARD MD
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Dates
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Enumeration Date | 12/29/2006
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Last Update Date | 06/24/2008
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Provider Practice Location Address
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Address Line | 155 E BENNETT ST
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City | KINGSTON
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State | PA
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Zip | 18704-4940
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Country | US
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Telephone | 570-283-5611
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Fax |
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Provider Business Mailing Address
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Address Line | 155 E BENNETT ST
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City | KINGSTON
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State | PA
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Zip | 18704-4940
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Country | US
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Telephone | 570-283-5611
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Fax |
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | LISA LOMBARD
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Credential |
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Telephone | 570-283-5611
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | MD029324E
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License Number State | PA
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