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NPI Code Detail

MEDICARE: MELISSA MARIE LOMBARDO

MEDICARE: MELISSA MARIE LOMBARDO
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
1225X00000XOccupational Therapist509061

General Provider Information

NPI Number : 1841040615
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELISSA MARIE LOMBARDO
Provider Business Mailing Address
First Line : 9 GODIVA LN
Second Line :
City : BELLA VISTA
State : AR
Zip : 72715-3012
Country : US
Telephone Number : 916-705-4119
Fax Number :
Provider Business Practice Location Address
First Line : 2999 OLYMPUS BLVD
Second Line :
City : COPPELL
State : TX
Zip : 75019-0122
Country : US
Telephone Number : 402-509-5532
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/25/2024
Last Update Date : 09/20/2024

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Directions to “ MELISSA MARIE LOMBARDO ” Practice Location

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