Provider Demographics
NPI:1104364595
Name:LOMBARD, NICHOLAS MICHAEL (DPT)
Entity Type:Individual
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First Name:NICHOLAS
Middle Name:MICHAEL
Last Name:LOMBARD
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
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Mailing Address - Street 1:5300 DERRY ST
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:HARRISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17111-3576
Mailing Address - Country:US
Mailing Address - Phone:717-839-2110
Mailing Address - Fax:717-565-1934
Practice Address - Street 1:840 HELEN DR
Practice Address - Street 2:SUITE 200
Practice Address - City:LEBANON
Practice Address - State:PA
Practice Address - Zip Code:17042-7456
Practice Address - Country:US
Practice Address - Phone:717-270-5465
Practice Address - Fax:717-270-5689
Is Sole Proprietor?:No
Enumeration Date:2017-02-06
Last Update Date:2017-02-06
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAPT025804225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist