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Individual
LEE A KLOMBERS
Active
Individual
LEE A KLOMBERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
MD043936L
PA
207WX0110X
Pediatric Ophthalmology and Strabismus Specialist Physician
Primary
MD-043936L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1238200
—
PA
01
—
1477512473
MDCR-RR
PA
01
—
180026203
MDCR-RR
PA
Enumeration date
01/19/2006
Last updated
11/18/2022
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