Individual
JOSEPH A. LOMBARDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
300 1ST CAPITOL DR, DEPT. OF PATHOLOGY, SAINT CHARLES, MO 63301-2844
(636) 947-5420
(636) 947-5257
Mailing address
5700 SOUTHWYCK BLVD, TOLEDO, OH 43614-1509
(419) 866-1804
(419) 866-5453
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
036 060671
IL
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
R9034
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200974533
—
MO
01
—
220028815
RAILROAD MEDICARE
—
Enumeration date
11/17/2005
Last updated
04/20/2018
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