MEDICARE: LINDSAY POWELL LOMBARDO D.O.

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
1	208800000X	Urology Physician	2015023520	MO

General Provider Information

NPI Number	:	1356573117
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LINDSAY POWELL LOMBARDO D.O.

Provider Business Mailing Address
First Line	:	1008 SOUTH SPRING AVE
Second Line	:	SLUCARE ACADEMIC PAVILLION, 1ST FLOOR
City	:	SAINT LOUIS
State	:	MO
Zip	:	63110-3714
Country	:	US
Telephone Number	:	314-977-3470
Fax Number	:	314-977-1642

Provider Business Practice Location Address
First Line	:	1008 SOUTH SPRING AVE
Second Line	:	SLUCARE ACADEMIC PAVILLION, 1ST FLOOR
City	:	SAINT LOUIS
State	:	MO
Zip	:	63110-3714
Country	:	US
Telephone Number	:	314-977-3470
Fax Number	:	314-977-1642

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/12/2009
Last Update Date	:	02/17/2021

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