Provider Demographics
NPI:1558311050
Name:LOMBARD, JANE (MD)
Entity type:Individual
Prefix:
First Name:JANE
Middle Name:
Last Name:LOMBARD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2495 HOSPITAL DR
Mailing Address - Street 2:
Mailing Address - City:MOUNTAIN VIEW
Mailing Address - State:CA
Mailing Address - Zip Code:94040-4119
Mailing Address - Country:US
Mailing Address - Phone:650-988-4171
Mailing Address - Fax:650-694-3972
Practice Address - Street 1:2495 HOSPITAL DR
Practice Address - Street 2:
Practice Address - City:MOUNTAIN VIEW
Practice Address - State:CA
Practice Address - Zip Code:94040-4119
Practice Address - Country:US
Practice Address - Phone:650-988-4171
Practice Address - Fax:650-694-3972
Is Sole Proprietor?:No
Enumeration Date:2006-05-12
Last Update Date:2020-11-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAG55024207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAF15843Medicare UPIN