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Organization

TAMARA N LOMBARD, PHD, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. TAMARA N LOMBARD PHD, HSPP (LICENSED CLINICAL PSYCHOLOGIST)
(260) 436-7131
Entity
Organization

Contact information

Practice address
6201 CONSTITUTION DR, FORT WAYNE, IN 46804-1517
(260) 436-7131
(260) 436-5123
Mailing address
6201 CONSTITUTION DR, FORT WAYNE, IN 46804-1517
(260) 436-7131
(260) 436-5123

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary

Other

Enumeration date
08/01/2018
Last updated
06/23/2023
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