Provider Demographics
NPI:1134362270
Name:LOMBARDO, VITTORIO (MD)
Entity type:Individual
Prefix:
First Name:VITTORIO
Middle Name:
Last Name:LOMBARDO
Suffix:
Gender:M
Credentials:MD
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Other - Last Name:
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Mailing Address - Street 1:3635 VISTA AVE
Mailing Address - Street 2:DEPARTMENT OF SURGERY, DT3
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63110-2539
Mailing Address - Country:US
Mailing Address - Phone:314-577-8566
Mailing Address - Fax:314-771-1945
Practice Address - Street 1:3635 VISTA AVE
Practice Address - Street 2:DEPARTMENT OF SURGERY, DT3
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63110-2539
Practice Address - Country:US
Practice Address - Phone:314-577-8566
Practice Address - Fax:314-771-1945
Is Sole Proprietor?:No
Enumeration Date:2009-04-18
Last Update Date:2009-04-18
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MO2009005895208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery