Individual
CHARLES MICHAEL LOMBARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
300 PASTEUR DR, STANFORD, CA 94305-2200
(650) 723-4000
(419) 866-5453
Mailing address
300 PASTEUR DR, STANFORD, CA 94305-2200
(650) 723-4000
(419) 866-5453
Taxonomy
Speciality
Code
Description
License number
State
207ZC0006X
Clinical Pathology Physician
G40301
CA
207ZP0101X
Anatomic Pathology Physician
G40301
CA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
G40301
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G403010
—
CA
01
—
G403010
MEDICAL LICENSE
CA
Enumeration date
10/31/2006
Last updated
03/14/2024
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