Provider Demographics
NPI:1346430956
Name:LOMBARD, AZIKIWE KAMAU (MD)
Entity Type:Individual
Prefix:
First Name:AZIKIWE
Middle Name:KAMAU
Last Name:LOMBARD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1514 JEFFERSON HWY
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70121-2429
Mailing Address - Country:US
Mailing Address - Phone:504-842-4000
Mailing Address - Fax:504-988-4701
Practice Address - Street 1:3401 BEHRMAN PL
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70114-8216
Practice Address - Country:US
Practice Address - Phone:504-371-9323
Practice Address - Fax:504-371-9339
Is Sole Proprietor?:No
Enumeration Date:2007-07-30
Last Update Date:2022-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA202067207Q00000X
LAMD.202067207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL1346430956Medicaid
LA1170321Medicaid
MS05808220Medicaid
MS05808220Medicaid
LA313480YH3UMedicare PIN