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Individual

MYRNA J LOMBARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
77 HERRICK ST, STE 101, BEVERLY, MA 01915-3012
(978) 927-4110
(978) 232-7057
Mailing address
77 HERRICK ST, STE 101, BEVERLY, MA 01915-3012
(978) 927-4110
(978) 232-7057

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
NP79809
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0703231
MA
01
NP2519
BS
MA
Enumeration date
08/02/2006
Last updated
07/08/2007
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