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General NPI Number Information
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NPI Number | 1548659345
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Entity Type | Organization
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Legal Business Name | LOIS LOMBARDO DMD PC
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Dates
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Enumeration Date | 01/16/2015
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Last Update Date | 01/16/2015
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Provider Practice Location Address
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Address Line | 68 PARK ST
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City | ANDOVER
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State | MA
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Zip | 01810-3693
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Country | US
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Telephone | 978-474-0507
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Fax | 978-409-6257
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Provider Business Mailing Address
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Address Line | 68 PARK ST
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City | ANDOVER
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State | MA
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Zip | 01810-3693
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Country | US
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Telephone | 978-474-0507
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Fax | 978-409-6257
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Authorized Official
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Title or Position | DENTIST
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Name | DR. LOIS ANN LOMBARDO
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Credential | DMD
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Telephone | 978-474-0507
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number |
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License Number State |
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