Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0103X | Foot & Ankle Surgery | SC007104 | PA |
NPI | 1083235253 |
---|---|
Provider Name | Kavin Joseph Lombardi |
First Address | Pittsburgh, PA 15212-4772 |
Second Address | Pittsburgh, PA 15212-4772 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 29/04/2020 |
Last Update Date | 29/06/2020 |