Individual
MRS. KASUDA LOMBARDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
655 W 8TH ST, JACKSONVILLE, FL 32209-6511
(904) 244-0411
Mailing address
5199 DERBY FOREST LN, JACKSONVILLE, FL 32258-1514
(727) 271-3319
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
9231673
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003143417A
—
GA
05
—
010543000
—
FL
Enumeration date
01/22/2014
Last updated
09/15/2015
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