Provider Demographics
NPI:1407227937
Name:LOMBARDO, TAMMY (LPN)
Entity Type:Individual
Prefix:MISS
First Name:TAMMY
Middle Name:
Last Name:LOMBARDO
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6100 DELORA AVE
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:OH
Mailing Address - Zip Code:44144-4253
Mailing Address - Country:US
Mailing Address - Phone:216-759-2030
Mailing Address - Fax:
Practice Address - Street 1:6100 DELORA AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:OH
Practice Address - Zip Code:44144-4253
Practice Address - Country:US
Practice Address - Phone:216-759-2030
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-10-09
Last Update Date:2015-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPN097192164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse