Provider Demographics
NPI:1407230121
Name:LOMBARDI, ERIN MARIE
Entity Type:Individual
Prefix:MS
First Name:ERIN
Middle Name:MARIE
Last Name:LOMBARDI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4300 GEORGE MASON DRIVE BLVD
Mailing Address - Street 2:SUNRISE ASSISTED LIVING
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22030
Mailing Address - Country:US
Mailing Address - Phone:703-934-5069
Mailing Address - Fax:
Practice Address - Street 1:4300 GEORGE MASON DRIVE BLVD
Practice Address - Street 2:SUNRISE ASSISTED LIVING
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22030
Practice Address - Country:US
Practice Address - Phone:703-934-5069
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-07-13
Last Update Date:2015-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2306602640225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist