Individual
LISA LOMBARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
332 N SCOVILLE AVE, OAK PARK, IL 60302-2263
(708) 655-0063
Mailing address
332 N SCOVILLE AVE, OAK PARK, IL 60302-2263
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071.007229
IL
Other
Enumeration date
08/12/2019
Last updated
08/12/2019
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