Provider Demographics
NPI:1184855660
Name:LOMBARDO, LUANN J (LICENSED PRACTICAL N)
Entity Type:Individual
Prefix:MRS
First Name:LUANN
Middle Name:J
Last Name:LOMBARDO
Suffix:
Gender:F
Credentials:LICENSED PRACTICAL N
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:189 WEST ST
Mailing Address - Street 2:
Mailing Address - City:MILFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01757-2276
Mailing Address - Country:US
Mailing Address - Phone:508-478-6868
Mailing Address - Fax:508-473-6065
Practice Address - Street 1:189 WEST ST
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:MA
Practice Address - Zip Code:01757-2276
Practice Address - Country:US
Practice Address - Phone:508-478-6868
Practice Address - Fax:508-473-6065
Is Sole Proprietor?:No
Enumeration Date:2009-08-02
Last Update Date:2009-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA49405164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse