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General NPI Number Information
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NPI Number | 1356635361
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Entity Type | Individual
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Provider Name | LEE A LOMBARDO LCSW
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Gender | Female
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Dates
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Enumeration Date | 06/07/2011
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Last Update Date | 10/23/2014
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Provider Practice Location Address
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Address Line | 294 S LEANDRO ST
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City | ANAHEIM
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State | CA
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Zip | 92807-3962
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Country | US
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Telephone | 714-401-6373
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2406
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City | ORANGE
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State | CA
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Zip | 92859-0406
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Country | US
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Telephone | 714-401-6373
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LCS 17895
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License Number State | CA
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