Provider Demographics
NPI:1255623526
Name:LOMBARDO, LORI F (MACCC/SLP/L)
Entity type:Individual
Prefix:
First Name:LORI
Middle Name:F
Last Name:LOMBARDO
Suffix:
Gender:F
Credentials:MACCC/SLP/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7600 S.E. 29TH STREET
Mailing Address - Street 2:UNIT 404
Mailing Address - City:MERCER ISLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98040
Mailing Address - Country:US
Mailing Address - Phone:425-442-1921
Mailing Address - Fax:
Practice Address - Street 1:7600 S.E. 29TH STREET
Practice Address - Street 2:UNIT 404
Practice Address - City:MERCER ISLAND
Practice Address - State:WA
Practice Address - Zip Code:98040
Practice Address - Country:US
Practice Address - Phone:425-442-1921
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-05
Last Update Date:2011-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALL 00001221235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist