Individual
CHARLES SPENCER EVANS LOMBE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
101 E MAIN ST, CHERRYVALE, KS 67335-1409
(620) 336-2144
(620) 336-3285
Mailing address
1214 W 4TH ST, COFFEYVILLE, KS 67337-3302
(620) 251-1622
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
8031
KS
Other
Enumeration date
03/02/2007
Last updated
07/08/2007
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