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NPI Code Detail

MEDICARE: ANTHONY K LOMBARDI MD

MEDICARE: ANTHONY K LOMBARDI 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
1207PE0004XEmergency Medical Services (Emergency Medicine) Physician5853472-1205UT

General Provider Information

NPI Number : 1508889353
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANTHONY K LOMBARDI MD
Provider Business Mailing Address
First Line : PO BOX 30180
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84130-0180
Country : US
Telephone Number : 801-269-2500
Fax Number : 801-269-2690
Provider Business Practice Location Address
First Line : 5770 FASHION BLVD
Second Line :
City : MURRAY
State : UT
Zip : 84107-6548
Country : US
Telephone Number : 801-269-2500
Fax Number : 801-269-2690
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/25/2006
Last Update Date : 07/08/2007

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