Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 4301090161 | MI |
Y | 2080P0210X | Pediatric Nephrologist | 4301090161 | MI |
NPI | 1033312707 |
---|---|
Provider Name | Rebecca M Lombel |
First Address | Ann Arbor, MI 48108 |
Second Address | Ann Arbor, MI 48109-4259 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/06/2007 |
Last Update Date | 31/07/2013 |