Organization
LOMBA MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FERNANDO LUIS LOMBA (OWNER)
(941) 766-4120
Entity
Organization
Contact information
Practice address
410 S 11TH ST, LAKE WALES, FL 33853-4203
(863) 676-1433
Mailing address
PO BOX 742291, ATLANTA, GA 30374-2291
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Enumeration date
06/29/2021
Last updated
06/29/2021
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