Provider Demographics
NPI:1497087753
Name:LOMBARDO, LEO ALEXANDER (MD)
Entity Type:Individual
Prefix:DR
First Name:LEO
Middle Name:ALEXANDER
Last Name:LOMBARDO
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 1:1730 S VICTORIA AVE
Mailing Address - Street 2:SUITE 220
Mailing Address - City:VENTURA
Mailing Address - State:CA
Mailing Address - Zip Code:93003
Mailing Address - Country:US
Mailing Address - Phone:805-650-5650
Mailing Address - Fax:
Practice Address - Street 1:1730 S VICTORIA AVE
Practice Address - Street 2:SUITE 220
Practice Address - City:VENTURA
Practice Address - State:CA
Practice Address - Zip Code:93003
Practice Address - Country:US
Practice Address - Phone:805-650-5650
Practice Address - Fax:805-650-5656
Is Sole Proprietor?:No
Enumeration Date:2010-02-10
Last Update Date:2013-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA110907207L00000X, 207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
No207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology