Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LN0000X | Nurse Practitioner - Neonatal | SP007633 | PA |
NPI | 1104904226 |
---|---|
Provider Name | Ms. Felicia Ann Lombardo |
First Address | Reading, PA 19607 |
Second Address | West Chester, PA 19380 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/11/2006 |
Last Update Date | 17/09/2012 |