Provider Demographics
NPI:1346430956
Name:LOMBARD, AZIKIWE KAMAU (MD)
Entity type:Individual
Prefix:
First Name:AZIKIWE
Middle Name:KAMAU
Last Name:LOMBARD
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6101 BLUE LAGOON DR STE 200
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33126-3168
Mailing Address - Country:US
Mailing Address - Phone:844-630-0700
Mailing Address - Fax:877-374-1924
Practice Address - Street 1:4101 S CARROLLTON AVE
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70119-6817
Practice Address - Country:US
Practice Address - Phone:504-446-1390
Practice Address - Fax:877-473-0040
Is Sole Proprietor?:No
Enumeration Date:2007-07-30
Last Update Date:2025-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA202067207Q00000X
LAMD.202067207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS05808220Medicaid
AL1346430956Medicaid
LA1170321Medicaid
MS05808220Medicaid
LA313480YH3UMedicare PIN