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Individual

MYRANDA NICOLE LOMBARDI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
HIS

Contact information

Practice address
72 PINE ST UNIT B, BRISTOL, CT 06010-6960
(860) 506-3720
(860) 506-3721
Mailing address
72 PINE ST UNIT B, BRISTOL, CT 06010-6960
(860) 506-3720
(860) 506-3721

Taxonomy

Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
482
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
482
HIS LICENSE
CT
Enumeration date
10/10/2022
Last updated
11/08/2023
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