Individual
DR. TESS KRYSPIN LOMBARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
80 PHOENIX AVE, WATERBURY, CT 06702-1418
(203) 756-8021
(203) 573-5832
Mailing address
80 PHOENIX AVE, STE 201, WATERBURY, CT 06702-1418
(203) 756-8021
(203) 596-3085
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
035945
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010035945CT03
ANTHEM BC/BS
CT
01
—
035945
CONNECTICARE
CT
01
—
2V5273
HEALTH NET
CT
01
—
3990545
AETNA
CT
01
—
5695R1
EMPIRE BC/BS
CT
01
—
9037810
CIGNA
CT
01
—
P00220769
RAILROAD MEDICARE
CT
01
—
P340749
OXFORD HEALTH PLANS
CT
01
—
TIN
NORTHEAST HEALTH DIRECT
—
Enumeration date
08/13/2006
Last updated
01/16/2018
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