Individual
KEITH A LOMBARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1226A COLUMBIA RD., SOUTH BOSTON, MA 02127
(617) 534-9500
(617) 534-9516
Mailing address
1010 MASSACHUSETTS AVE, BOSTON, MA 02118-2600
(617) 419-3408
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
13100
MA
Other
Enumeration date
06/11/2015
Last updated
08/09/2016
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