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Individual
FRED LOMBARDO
Active
Individual
FRED LOMBARDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
SC004059L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1470984
BSM
—
01
—
20816
GEISINGER
—
01
—
60054
AETNA
—
01
—
814530
FIRST PRIORITY
—
Enumeration date
01/26/2006
Last updated
02/13/2008
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