Organization
LOMBA MD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FERNANDO LUIS LOMBA MD (PRESIDENT)
(941) 766-4120
Entity
Organization
Contact information
Practice address
6201 N SUNCOAST BLVD, CRYSTAL RIVER, FL 34428-6712
(352) 795-8338
Mailing address
PO BOX 742291, ATLANTA, GA 30374-2291
(941) 766-4267
(941) 766-4123
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Enumeration date
08/02/2023
Last updated
08/02/2023
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