Provider Demographics
NPI:1548659345
Name:LOIS LOMBARDO DMD PC
Entity type:Organization
Organization Name:LOIS LOMBARDO DMD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:LOIS
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:LOMBARDO
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:978-474-0507
Mailing Address - Street 1:68 PARK ST
Mailing Address - Street 2:
Mailing Address - City:ANDOVER
Mailing Address - State:MA
Mailing Address - Zip Code:01810-3693
Mailing Address - Country:US
Mailing Address - Phone:978-474-0507
Mailing Address - Fax:978-409-6257
Practice Address - Street 1:68 PARK ST
Practice Address - Street 2:
Practice Address - City:ANDOVER
Practice Address - State:MA
Practice Address - Zip Code:01810-3693
Practice Address - Country:US
Practice Address - Phone:978-474-0507
Practice Address - Fax:978-409-6257
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-16
Last Update Date:2015-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty