Provider Demographics
NPI:1619134582
Name:LOMBARDI, LUCIANA
Entity Type:Individual
Prefix:DR
First Name:LUCIANA
Middle Name:
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 1:16 S BEDFORD RD
Mailing Address - Street 2:SUITE 3W
Mailing Address - City:CHAPPAQUA
Mailing Address - State:NY
Mailing Address - Zip Code:10514-3464
Mailing Address - Country:US
Mailing Address - Phone:914-238-5884
Mailing Address - Fax:914-238-6150
Practice Address - Street 1:16 S BEDFORD RD
Practice Address - Street 2:SUITE 3W
Practice Address - City:CHAPPAQUA
Practice Address - State:NY
Practice Address - Zip Code:10514-3464
Practice Address - Country:US
Practice Address - Phone:914-238-5884
Practice Address - Fax:914-238-6150
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-19
Last Update Date:2008-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0433461223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice