Provider Demographics
NPI:1134305170
Name:LOMBARD, CYNTHIA CREO (APRN)
Entity Type:Individual
Prefix:MS
First Name:CYNTHIA
Middle Name:CREO
Last Name:LOMBARD
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:MS
Other - First Name:CYNTHIA
Other - Middle Name:CREO
Other - Last Name:OPATZ LOMBARD
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:CYNTHIA LOMBARD APRN
Mailing Address - Street 1:6160 SW HIGHWAY 200 STE 110
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34476-5519
Mailing Address - Country:US
Mailing Address - Phone:352-425-1704
Mailing Address - Fax:
Practice Address - Street 1:601 E DIXIE AVE STE 401
Practice Address - Street 2:
Practice Address - City:LEESBURG
Practice Address - State:FL
Practice Address - Zip Code:34748-5997
Practice Address - Country:US
Practice Address - Phone:352-787-1535
Practice Address - Fax:352-787-5310
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-20
Last Update Date:2022-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9191380363L00000X, 363LW0102X
FLAPRN9191380363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL691308396Medicaid