Organization
LOURDES Z OMBAO MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LOURDES OMBAO (PHYSICIAN)
(215) 752-1778
Entity
Organization
Contact information
Practice address
1205 LANGHORNE NEWTOWN RD, SUITE 406, LANGHORNE, PA 19047
(215) 752-1778
Mailing address
1205 LANGHORNE NEWTOWN RD, SUITE 406, LANGHORNE, PA 19047
(215) 752-1778
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0021867000
KEYSTONE
—
01
—
160014098
MEDICARE RAILROAD
—
Enumeration date
02/21/2007
Last updated
07/17/2009
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