Provider Demographics
NPI:1730318213
Name:LOMBARDI, DONNA D (RDHAP)
Entity Type:Individual
Prefix:
First Name:DONNA
Middle Name:D
Last Name:LOMBARDI
Suffix:
Gender:F
Credentials:RDHAP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27943 SECO CANYON RD
Mailing Address - Street 2:#137
Mailing Address - City:SANTA CLARITA
Mailing Address - State:CA
Mailing Address - Zip Code:91350-3872
Mailing Address - Country:US
Mailing Address - Phone:661-713-6685
Mailing Address - Fax:
Practice Address - Street 1:28687 DARROW AVE
Practice Address - Street 2:
Practice Address - City:SANTA CLARITA
Practice Address - State:CA
Practice Address - Zip Code:91390-1235
Practice Address - Country:US
Practice Address - Phone:661-713-6685
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-06
Last Update Date:2009-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA251124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist