Provider Demographics
NPI:1295870954
Name:LOMBARDI, CRAIG (ATC)
Entity type:Individual
Prefix:MR
First Name:CRAIG
Middle Name:
Last Name:LOMBARDI
Suffix:
Gender:M
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12 NORFOLK RD
Mailing Address - Street 2:BOX 80
Mailing Address - City:LITCHFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06759-2537
Mailing Address - Country:US
Mailing Address - Phone:860-567-4144
Mailing Address - Fax:
Practice Address - Street 1:12 NORFOLK RD
Practice Address - Street 2:BOX 80
Practice Address - City:LITCHFIELD
Practice Address - State:CT
Practice Address - Zip Code:06759-2537
Practice Address - Country:US
Practice Address - Phone:860-567-4144
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0001282255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer