Provider Demographics
NPI:1780704148
Name:LOMBARDO, DENISE (CNP)
Entity type:Individual
Prefix:
First Name:DENISE
Middle Name:
Last Name:LOMBARDO
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:602 LEONA ST
Mailing Address - Street 2:
Mailing Address - City:ELYRIA
Mailing Address - State:OH
Mailing Address - Zip Code:44035-2404
Mailing Address - Country:US
Mailing Address - Phone:440-322-7526
Mailing Address - Fax:440-324-2183
Practice Address - Street 1:602 LEONA ST
Practice Address - Street 2:
Practice Address - City:ELYRIA
Practice Address - State:OH
Practice Address - Zip Code:44035-2404
Practice Address - Country:US
Practice Address - Phone:440-322-7526
Practice Address - Fax:440-324-2183
Is Sole Proprietor?:No
Enumeration Date:2007-03-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHNP03338363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner