Provider Demographics
NPI:1023082815
Name:LOMBARDI, JULIA A (NP)
Entity type:Individual
Prefix:
First Name:JULIA
Middle Name:A
Last Name:LOMBARDI
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:630 PLANTATION ST
Mailing Address - Street 2:
Mailing Address - City:WORCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01605
Mailing Address - Country:US
Mailing Address - Phone:508-595-2000
Mailing Address - Fax:508-853-7149
Practice Address - Street 1:1400 COMPUTER DR STE 301
Practice Address - Street 2:
Practice Address - City:WESTBOROUGH
Practice Address - State:MA
Practice Address - Zip Code:01581-1790
Practice Address - Country:US
Practice Address - Phone:617-420-5316
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-02-16
Last Update Date:2019-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA147158363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0705951Medicaid
NP4261OtherBLUE CARE ELECT
042472266OtherPRIVATE HEALTHCARE SYSTEM
AA28532OtherHARVARD PILGRIM HEALTHCAR
86204OtherFALLON COMMUNITY HEALTH P
NP4261OtherMEDICARE B
0705951OtherMEDICAID WELFARE
4142204OtherMVP HEALTH CARE
8302504OtherEVERCARE
86204OtherFALLON COMMUNITY HEALTH P
AA28532OtherHARVARD PILGRIM HEALTHCAR