Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207KA0200X | Allergist | 17136 | SC |
NPI | 1487645107 |
---|---|
Provider Name | Dr. Angelina Joann Lombardi |
First Address | Spartanburg, SC 29301-3510 |
Second Address | Greenville, SC 29607-5910 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/11/2005 |
Last Update Date | 13/02/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
171361 | (05) | SC |
BL3976935 | SC DEA NUMBER (01) | SC |
F78690 | (02) | SC |