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NPI Code Detail

MEDICARE: KARA S. LOMBARDO PA

MEDICARE: KARA S. LOMBARDO PA
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
1363AS0400XSurgical Physician Assistant3750CT

General Provider Information

NPI Number : 1124041447
Entity Type Code : Individual
Provider Name (Legal Business Name) : KARA S. LOMBARDO PA
Provider Business Mailing Address
First Line : 24 HOSPITAL AVE
Second Line :
City : DANBURY
State : CT
Zip : 06810-6077
Country : US
Telephone Number : 475-204-4899
Fax Number :
Provider Business Practice Location Address
First Line : 24 HOSPITAL AVE
Second Line :
City : DANBURY
State : CT
Zip : 06810-6077
Country : US
Telephone Number : 475-204-4899
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/26/2006
Last Update Date : 05/06/2021

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