Individual
MOLLY LOMBARDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
300 MEDICAL PLZ STE 221, LAKE ST LOUIS, MO 63367-1483
(636) 625-6041
Mailing address
PO BOX 955534, SAINT LOUIS, MO 63195-5534
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F07170107
MO
Other
Enumeration date
07/09/2017
Last updated
11/04/2020
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