Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QS0010X | Family Doctor - Sports Medicine | 35-041208 | OH |
NPI | 1336125269 |
---|---|
Provider Name | Dr. John A Lombardo |
First Address | Dublin, OH 43016-4259 |
Second Address | Columbus, OH 43214-3467 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/12/2005 |
Last Update Date | 27/12/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
B95408 | (02) | OH |