Provider Demographics
NPI:1831381334
Name:LOMARDA, MARIA CELESTE BARGAS (MD)
Entity type:Individual
Prefix:DR
First Name:MARIA CELESTE
Middle Name:BARGAS
Last Name:LOMARDA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:3800 FAIRWAY PARK DR
Mailing Address - Street 2:APARTMENT 208
Mailing Address - City:COPLEY
Mailing Address - State:OH
Mailing Address - Zip Code:44321-2967
Mailing Address - Country:US
Mailing Address - Phone:330-622-3283
Mailing Address - Fax:
Practice Address - Street 1:1608 S J ST
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98405-4930
Practice Address - Country:US
Practice Address - Phone:253-274-7503
Practice Address - Fax:253-274-7993
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-17
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH57012375207Q00000X
WAMD6007595207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty