Provider Demographics
NPI:1659655728
Name:LOMBARDO, PATRICIA LEE (OTR/L)
Entity Type:Individual
Prefix:
First Name:PATRICIA
Middle Name:LEE
Last Name:LOMBARDO
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:850 E OCEAN BLVD
Mailing Address - Street 2:1407
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90802-5460
Mailing Address - Country:US
Mailing Address - Phone:562-435-1969
Mailing Address - Fax:
Practice Address - Street 1:850 E OCEAN BLVD
Practice Address - Street 2:1407
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90802-5460
Practice Address - Country:US
Practice Address - Phone:562-435-1969
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-06
Last Update Date:2011-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA2792172V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker