Provider Demographics
NPI:1881816908
Name:LOMBARDI, DONNA MARIA (ND)
Entity Type:Individual
Prefix:DR
First Name:DONNA
Middle Name:MARIA
Last Name:LOMBARDI
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21326 DAVIDSON ST
Mailing Address - Street 2:
Mailing Address - City:CORNELIUS
Mailing Address - State:NC
Mailing Address - Zip Code:28031-8553
Mailing Address - Country:US
Mailing Address - Phone:704-894-9134
Mailing Address - Fax:704-894-9134
Practice Address - Street 1:21326 DAVIDSON ST
Practice Address - Street 2:
Practice Address - City:CORNELIUS
Practice Address - State:NC
Practice Address - Zip Code:28031-8553
Practice Address - Country:US
Practice Address - Phone:704-894-9134
Practice Address - Fax:704-894-9134
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WANT00001095175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath