Provider Demographics
NPI:1962796011
Name:LOMBARDI, STEPHANIE LEE (DPT, PT)
Entity type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:LEE
Last Name:LOMBARDI
Suffix:
Gender:F
Credentials:DPT, PT
Other - Prefix:
Other - First Name:STEPHANIE
Other - Middle Name:
Other - Last Name:STUMPF
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:10895 W 31ST PL
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80215-7152
Mailing Address - Country:US
Mailing Address - Phone:303-921-6878
Mailing Address - Fax:
Practice Address - Street 1:10895 W 31ST PL
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80215-7152
Practice Address - Country:US
Practice Address - Phone:303-921-6878
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-07
Last Update Date:2020-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO9703225100000X, 225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist