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NPI Code Detail

MEDICARE: DR. FERNANDO LUIS LOMBA MD

MEDICARE: DR. FERNANDO LUIS LOMBA MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207ZP0102XAnatomic Pathology & Clinical Pathology PhysicianME70707FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1043282049
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. FERNANDO LUIS LOMBA MD
Provider Business Mailing Address
First Line : PO BOX 742291
Second Line :
City : ATLANTA
State : GA
Zip : 30374-2291
Country : US
Telephone Number : 941-766-4267
Fax Number : 772-794-2248
Provider Business Practice Location Address
First Line : 2500 HARBOR BLVD
Second Line :
City : PORT CHARLOTTE
State : FL
Zip : 33952-5000
Country : US
Telephone Number : 941-766-4120
Fax Number : 941-505-1466
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/03/2006
Last Update Date : 07/24/2020

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