Individual
LORRAINE A GOMBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 LYONS ST, DEDHAM, MA 02026-5599
(781) 329-1400
(781) 278-5667
Mailing address
PO BOX 9120, DEDHAM, MA 02027-9120
(781) 329-1400
(781) 278-5667
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
154246
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0013248
NEIGHBORHOOD HEALTH PLAN
—
01
—
3172341
MASS HEALTH
—
01
—
57553
CHILDREN'S MEDICAL SECURI
—
01
—
7336967
CIGNA HEALTH CARE
—
01
—
772904
TUFTS TOTAL HEALTH PLAN
—
01
—
AA20257
FIRST SENIORITY
—
01
—
J18280
HMO BLUE/BLUE CHOICE
—
Enumeration date
06/28/2005
Last updated
03/01/2011
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